BRAD WILLIAM SHUFELT MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053078

License Status

CANCELLED

Business

First Name

BRAD

Middle

WILLIAM

Last Name

SHUFELT

Suffix

Business Name

BRAD WILLIAM SHUFELT MD

Original Issue Date

07/01/2010

Effective Date

07/01/2010

Expiration Date

06/30/2011

City

MCHENRY

State

Zip

60050

County

MCHENRY

Specialty/Qualifier

Anesthesiology

Ever Disciplined

LastModifiedDate

04/07/2010