BRADLEY JOSEPH HALVERSON DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063098

License Status

NOT RENEWED

Business

Title

First Name

BRADLEY

Middle

JOSEPH

Last Name

HALVERSON

Business Name

BRADLEY JOSEPH HALVERSON DO

Original Issue Date

07/01/2016

Effective Date

07/01/2016

Expiration Date

12/31/2016

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

03/09/2017