BRADY ROGER STILL MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070648

License Status

CANCELLED

Business

Title

First Name

BRADY

Middle

ROGER

Last Name

STILL

Business Name

BRADY ROGER STILL MD

Original Issue Date

08/01/2021

Effective Date

08/01/2021

Expiration Date

07/31/2022

City

CHICAGO

State

Zip

60637

County

COOK

Specialty/Qualifier

Pediatric Anesthesiology

Ever Disciplined

LastModifiedDate

02/04/2021