BRENDAN PAUL BAGLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****38

License Status

NOT RENEWED

Business

First Name

BRENDAN

Middle

PAUL

Last Name

BAGLEY

Suffix

Business Name

BRENDAN PAUL BAGLEY MD

Original Issue Date

05/04/2006

Effective Date

05/04/2006

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60622

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011