BASIL ARNOLD BRADLOW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

BASIL ARNOLD

Last Name

BRADLOW

Suffix

Business Name

BASIL ARNOLD BRADLOW MD

Original Issue Date

05/11/1983

Effective Date

05/11/1983

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008