ERIC BRADLEY FULLER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036132558

License Status

ACTIVE

Business

Title

First Name

ERIC

Middle

BRADLEY

Last Name

FULLER

Business Name

ERIC BRADLEY FULLER MD

Original Issue Date

04/22/2013

Effective Date

05/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60611

County

COOK

Ever Disciplined

LastModifiedDate

05/06/2023