BRADLEY ARIN RESTIVO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069724

License Status

EXPIRED

Business

Title

First Name

BRADLEY

Middle

ARIN

Last Name

RESTIVO

Business Name

BRADLEY ARIN RESTIVO MD

Original Issue Date

09/22/2016

Effective Date

09/22/2016

Expiration Date

09/21/2017

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

11/01/2017

Case Number

2016004886

Action

Reprimand

Discipline Start Date

09/21/2016

Discipline Reason

after he plead guilty to Class I Misdemeanor Disorderly Conduct in 2013.