SHANNON CHANEL WILSON BRADLEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036153105

License Status

ACTIVE

Business

Title

First Name

SHANNON

Middle

CHANEL

Last Name

WILSON BRADLEY

Business Name

SHANNON CHANEL WILSON BRADLEY MD

Original Issue Date

05/21/2020

Effective Date

04/04/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

04/18/2023