BRADLEY DAVID ALLEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060351

License Status

CANCELLED

Business

Title

First Name

BRADLEY

Middle

DAVID

Last Name

ALLEN

Business Name

BRADLEY DAVID ALLEN MD

BusinessDBA

BRAD ALLEN

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

06/30/2017

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Diagnostic Radiology

Ever Disciplined

LastModifiedDate

01/13/2016