BRADLEY HARRISON WERRELL DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125042245

License Status

CANCELLED

Business

Title

First Name

BRADLEY

Middle

HARRISON

Last Name

WERRELL

Business Name

BRADLEY HARRISON WERRELL DO

Original Issue Date

06/19/2001

Effective Date

06/19/2001

Expiration Date

06/19/2002

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Ever Disciplined

LastModifiedDate

09/22/2006