BRADLEY F MELLIERE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125016739

License Status

EXPIRED

Business

First Name

BRADLEY F

Last Name

MELLIERE

Suffix

Business Name

BRADLEY F MELLIERE MD

Original Issue Date

06/01/1984

Effective Date

06/01/1984

Expiration Date

06/25/1986

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006