BRADLEY CRIS COWLEY DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125062060

License Status

CANCELLED

Business

Title

First Name

BRADLEY

Middle

CRIS

Last Name

COWLEY

Business Name

BRADLEY CRIS COWLEY DO

Original Issue Date

06/26/2012

Effective Date

06/26/2012

Expiration Date

06/25/2015

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

03/24/2014