BRADLEY S ROSS DPM Podiatrist License verification

Business Entity

EXPIRED

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135000108

License Status

EXPIRED

Business

First Name

BRADLEY S

Last Name

ROSS

Suffix

DPM

Business Name

BRADLEY S ROSS DPM

Original Issue Date

07/21/1988

Effective Date

07/21/1988

Expiration Date

07/18/1989

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006