BRADFORD R EGLY DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****18

License Status

NOT RENEWED

Business

First Name

BRADFORD R

Last Name

EGLY

Suffix

DPM

Business Name

BRADFORD R EGLY DPM

Original Issue Date

08/05/1994

Effective Date

11/21/2006

Expiration Date

01/31/2009

City

DWIGHT

State

Zip

60420

County

LIVINGSTON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

03/17/2009