CARRIE MARELL BRADFORD MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125050278

License Status

CANCELLED

Business

First Name

CARRIE

Middle

MARELL

Last Name

BRADFORD

Suffix

Business Name

CARRIE MARELL BRADFORD MD

Original Issue Date

07/01/2005

Effective Date

07/01/2005

Expiration Date

06/30/2008

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Specialty/Qualifier

Pathology

Ever Disciplined

LastModifiedDate

09/22/2006