BRADLEY HOLT GLEASON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

ACTIVE

Business

First Name

BRADLEY

Middle

HOLT

Last Name

GLEASON

Suffix

Business Name

BRADLEY HOLT GLEASON MD

Original Issue Date

05/21/2007

Effective Date

06/04/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61614

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/04/2023