BRADLEY KEITH VIRGIN DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038004459

License Status

NOT RENEWED

Business

First Name

BRADLEY KEITH

Last Name

VIRGIN

Suffix

Business Name

BRADLEY KEITH VIRGIN DC

Original Issue Date

01/05/1982

Effective Date

06/27/2011

Expiration Date

07/31/2014

City

LITCHFIELD

State

Zip

62056

County

MONTGOMERY

Ever Disciplined

LastModifiedDate

11/17/2014