BRADLEY JON WADINGTON DPM Podiatrist License verification

Business Entity

NOT RENEWED

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****52

License Status

NOT RENEWED

Business

First Name

BRADLEY

Middle

JON

Last Name

WADINGTON

Suffix

DPM

Business Name

BRADLEY JON WADINGTON DPM

Original Issue Date

06/05/2000

Effective Date

06/05/2000

Expiration Date

01/31/2003

City

CHICAGO

State

Zip

60641

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006