BRENDAN PAUL BAGLEY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043458

License Status

EXPIRED

Business

First Name

BRENDAN

Middle

PAUL

Last Name

BAGLEY

Suffix

Business Name

BRENDAN PAUL BAGLEY MD

Original Issue Date

06/21/2001

Effective Date

06/21/2001

Expiration Date

06/20/2002

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006