BRADLEY R WOLF MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****74

License Status

NOT RENEWED

Business

First Name

BRADLEY R

Last Name

WOLF

Suffix

Business Name

BRADLEY R WOLF MD

Original Issue Date

08/28/1987

Effective Date

08/28/1987

Expiration Date

07/31/1990

City

PRAIRIEVIEW

State

Zip

60069

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006