ROY JAMES BARDWELL JR DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

Title

First Name

ROY

Middle

JAMES

Last Name

BARDWELL

Suffix

Business Name

ROY JAMES BARDWELL JR DO

Original Issue Date

02/24/2010

Effective Date

06/13/2023

Expiration Date

07/31/2026

City

TINLEY PARK

State

Zip

60477

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/13/2023