ROY JAMES BARDWELL JR DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053343

License Status

CANCELLED

Business

Title

First Name

ROY

Middle

JAMES

Last Name

BARDWELL

Suffix

Business Name

ROY JAMES BARDWELL JR DO

Original Issue Date

07/01/2008

Effective Date

07/01/2008

Expiration Date

06/30/2010

City

TINLEY PARK

State

Zip

60477

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

05/14/2008