BRAD ANGLE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****91

License Status

NOT RENEWED

Business

First Name

BRAD

Last Name

ANGLE

Suffix

Business Name

BRAD ANGLE MD

Original Issue Date

11/15/1984

Effective Date

11/15/1984

Expiration Date

07/31/1996

City

HIGHLAND PARK

State

Zip

60035

County

LAKE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020