CHAUNTAY Y BRADLEY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125048480

License Status

CANCELLED

Business

First Name

CHAUNTAY

Middle

Last Name

BRADLEY

Suffix

Business Name

CHAUNTAY Y BRADLEY MD

Original Issue Date

07/01/2007

Effective Date

07/01/2007

Expiration Date

07/31/2007

City

CHICAGO

State

Zip

60631

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

06/22/2007