BRADLEY CRIS COWLEY DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

Title

First Name

BRADLEY

Middle

CRIS

Last Name

COWLEY

Business Name

BRADLEY CRIS COWLEY DO

Original Issue Date

07/31/2014

Effective Date

07/31/2014

Expiration Date

07/31/2017

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017