TIFFANY ANNETTE BRADLEY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071370

License Status

EXPIRED

Business

Title

First Name

TIFFANY

Middle

ANNETTE

Last Name

BRADLEY

Business Name

TIFFANY ANNETTE BRADLEY MD

Original Issue Date

06/23/2017

Effective Date

06/23/2017

Expiration Date

06/22/2020

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/19/2020