BRADLEY J KATZ Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125029329

License Status

EXPIRED

Business

First Name

BRADLEY

Middle

Last Name

KATZ

Business Name

BRADLEY J KATZ

Original Issue Date

05/04/1993

Effective Date

05/04/1993

Expiration Date

06/30/1996

City

URBANA

State

Zip

61801

County

CHAMPAIGN

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006