BRADFORD R EGLY DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016004698

License Status

NOT RENEWED

Business

First Name

BRADFORD R

Last Name

EGLY

Suffix

DPM

Business Name

BRADFORD R EGLY DPM

Original Issue Date

07/02/1994

Effective Date

02/01/2007

Expiration Date

01/31/2009

City

DWIGHT

State

Zip

60420

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

03/17/2009