BRADLEY V DAVITT MD

Licensed Physician Controlled Substance

Illinois  336055392   Canceled

This Illinois license was held by BRADLEY V DAVITT MD. The license is no longer active. It was granted on 06/16/1997 and expired on 07/31/2005

LICENSE DETAILS

  • License Number: 336055392
  • Category: LICENSED PHYSICIAN CONTROLLED SUBSTANCE
  • Status: Canceled
  • Date Granted: 06/16/1997 (almost 27 years ago)
  • Expiry Date: 07/31/2005 (over 18 years ago)

LOCATIONS

A Address

COLLINSVILLE, IL 62234