BRADLEY JERAME LOGSTON DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053167

License Status

EXPIRED

Business

First Name

BRADLEY

Middle

JERAME

Last Name

LOGSTON

Suffix

Business Name

BRADLEY JERAME LOGSTON DO

Original Issue Date

07/01/2011

Effective Date

07/01/2011

Expiration Date

10/31/2011

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

11/17/2011