TIMOTHY JOHN BRADLEY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000473

License Status

CANCELLED

Business

Title

First Name

TIMOTHY

Middle

JOHN

Last Name

BRADLEY

Business Name

TIMOTHY JOHN BRADLEY MD

Original Issue Date

08/02/2012

Effective Date

08/02/2012

Expiration Date

02/01/2013

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

05/09/2012