BRADFORD EMIL COLEN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

NOT RENEWED

Business

First Name

BRADFORD EMIL

Last Name

COLEN

Suffix

Business Name

BRADFORD EMIL COLEN MD

Original Issue Date

07/01/1981

Effective Date

06/11/2020

Expiration Date

07/31/2023

City

PEORIA

State

Zip

61602

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023