GARY M BRIDEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016334

License Status

EXPIRED

Business

First Name

GARY

Middle

Last Name

BRIDEN

Suffix

Business Name

GARY M BRIDEN DO

Original Issue Date

08/01/1983

Effective Date

08/01/1983

Expiration Date

07/01/1985

City

CHICAGO

State

Zip

60615

County

COOK

Ever Disciplined

LastModifiedDate

01/13/2015