ALEXANDER TYSON BRADLEY MD - Medical Doctor License in Illinois | # 125069882

ALEXANDER TYSON BRADLEY MD

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125069882

License Status

CANCELLED

Business

N

Title

MD

First Name

ALEXANDER

Middle

TYSON

Last Name

BRADLEY

Business Name

ALEXANDER TYSON BRADLEY MD

Original Issue Date

06/24/2020

Effective Date

06/24/2020

Expiration Date

06/23/2022

State

IL

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

N

LastModifiedDate

01/07/2020