SHANNON CHANEL WILSON BRADLEY MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070395

License Status

CANCELLED

Business

Title

First Name

SHANNON

Middle

CHANEL

Last Name

WILSON BRADLEY

Business Name

SHANNON CHANEL WILSON BRADLEY MD

Original Issue Date

06/25/2020

Effective Date

06/25/2020

Expiration Date

11/17/2020

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

01/07/2020