BRIAN PAUL BRADOW MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****36

License Status

NOT RENEWED

Business

Title

First Name

BRIAN

Middle

PAUL

Last Name

BRADOW

Business Name

BRIAN PAUL BRADOW MD

Original Issue Date

07/01/2013

Effective Date

05/22/2014

Expiration Date

07/31/2017

City

PEORIA

State

Zip

61606

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017