ROGER M BRADFORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

ROGER M

Last Name

BRADFORD

Suffix

Business Name

ROGER M BRADFORD MD

Original Issue Date

10/22/1991

Effective Date

10/22/1991

Expiration Date

07/31/1993

City

WHEATON

State

Zip

60187

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006