BRADLEY SCOTT ALLEN MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

CANCELLED

Business

First Name

BRADLEY SCOTT

Last Name

ALLEN

Suffix

Business Name

BRADLEY SCOTT ALLEN MD

Original Issue Date

11/12/1992

Effective Date

11/12/1992

Expiration Date

07/31/2005

City

OAK LAWN

State

Zip

60453

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006