BRADLEY MATTHEW DICKSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071456

License Status

CANCELLED

Business

Title

First Name

BRADLEY

Middle

MATTHEW

Last Name

DICKSON

Business Name

BRADLEY MATTHEW DICKSON MD

Original Issue Date

07/01/2020

Effective Date

07/01/2020

Expiration Date

06/30/2021

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

04/21/2020