BRADFORD T HSU Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****48

License Status

NOT RENEWED

Business

First Name

BRADFORD T

Last Name

HSU

Business Name

BRADFORD T HSU

Original Issue Date

03/16/1998

Effective Date

03/16/1998

Expiration Date

07/31/2005

City

SKOKIE

State

Zip

60077

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006