EVAN BRADFORD PRICE MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056359

License Status

CANCELLED

Business

Title

First Name

EVAN

Middle

BRADFORD

Last Name

PRICE

Business Name

EVAN BRADFORD PRICE MD

Original Issue Date

07/01/2012

Effective Date

07/01/2012

Expiration Date

06/30/2013

City

WHEATON

State

Zip

60187

County

DUPAGE

Specialty/Qualifier

Ophthalmology

Ever Disciplined

LastModifiedDate

06/28/2012