BRADLEY A BERTRAM Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125018870

License Status

EXPIRED

Business

First Name

BRADLEY

Middle

Last Name

BERTRAM

Business Name

BRADLEY A BERTRAM

Original Issue Date

07/17/1985

Effective Date

07/17/1985

Expiration Date

07/01/1988

City

OAK PARK

State

Zip

60302

County

COOK

Specialty/Qualifier

Family Practice & OMT

Ever Disciplined

LastModifiedDate

09/22/2006