BRADLEY KOLB MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125074526

License Status

CANCELLED

Business

Title

First Name

BRADLEY

Last Name

KOLB

Business Name

BRADLEY KOLB MD

Original Issue Date

07/01/2019

Effective Date

07/01/2019

Expiration Date

06/30/2022

City

CHICAGO

State

Zip

60612

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

06/03/2019