BRADLEY P MESSNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****57

License Status

NOT RENEWED

Business

First Name

BRADLEY P

Last Name

MESSNER

Suffix

Business Name

BRADLEY P MESSNER MD

Original Issue Date

08/10/1994

Effective Date

08/10/1994

Expiration Date

07/31/1996

City

PEORIA

State

Zip

61637

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006