BRADLEY R PIERCE Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125035097

License Status

EXPIRED

Business

First Name

BRADLEY

Middle

Last Name

PIERCE

Business Name

BRADLEY R PIERCE

Original Issue Date

06/15/1996

Effective Date

06/15/1996

Expiration Date

06/30/2001

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006