BRADLEY W BUCKROP DPM Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004658

License Status

INACTIVE

Business

First Name

BRADLEY W

Last Name

BUCKROP

Suffix

DPM

Business Name

BRADLEY W BUCKROP DPM

Original Issue Date

08/29/1992

Effective Date

01/02/2019

Expiration Date

01/31/2021

City

ROCK ISLAND

State

Zip

61201

County

ROCK ISLAND

Ever Disciplined

LastModifiedDate

11/08/2020