BRADFORD S MCGWIRE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

BRADFORD

Middle

Last Name

MCGWIRE

Business Name

BRADFORD S MCGWIRE

Original Issue Date

06/03/2002

Effective Date

06/03/2002

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60612

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006