CAMERON BRADLEY JUSTICE DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125075691

License Status

CANCELLED

Business

Title

First Name

CAMERON

Middle

BRADLEY

Last Name

JUSTICE

Business Name

CAMERON BRADLEY JUSTICE DO

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2023

City

PEORIA

State

Zip

61637

County

PEORIA

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/03/2020