BRADLEY ALLEN CLARK DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125060926

License Status

EXPIRED

Business

Title

First Name

BRADLEY

Middle

ALLEN

Last Name

CLARK

Business Name

BRADLEY ALLEN CLARK DO

Original Issue Date

07/01/2015

Effective Date

07/01/2015

Expiration Date

06/30/2018

City

KANKAKEE

State

Zip

60901

County

KANKAKEE

Specialty/Qualifier

Cardiology

Ever Disciplined

LastModifiedDate

10/25/2018