BRADLEY M HAVERKOS MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125056675

License Status

EXPIRED

Business

First Name

BRADLEY

Middle

Last Name

HAVERKOS

Suffix

Business Name

BRADLEY M HAVERKOS MD

Original Issue Date

06/24/2009

Effective Date

06/24/2009

Expiration Date

06/23/2012

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

08/29/2012