BRADLEY D NITZSCHE MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125065631

License Status

EXPIRED

Business

Title

First Name

BRADLEY

Middle

Last Name

NITZSCHE

Business Name

BRADLEY D NITZSCHE MD

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2018

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Obstetrics and Gynecology

Ever Disciplined

LastModifiedDate

10/25/2018