BRADLEY WILLIAM WARGO DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****81

License Status

NOT RENEWED

Business

Title

First Name

BRADLEY

Middle

WILLIAM

Last Name

WARGO

Business Name

BRADLEY WILLIAM WARGO DO

Original Issue Date

11/18/2008

Effective Date

05/27/2011

Expiration Date

07/31/2014

City

MARION

State

Zip

62959

County

WILLIAMSON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/17/2014