BIANCA F RAD DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130001357

License Status

EXPIRED

Business

Title

First Name

BIANCA

Middle

Last Name

RAD

Prefix

Business Name

BIANCA F RAD DO

Original Issue Date

05/05/2020

Effective Date

05/05/2020

Expiration Date

06/04/2020

City

CHICAGO

State

Zip

60659

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

11/19/2020