BRADFORD GEORGE PETERSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

ACTIVE

Business

First Name

BRADFORD GEORGE

Last Name

PETERSON

Suffix

Business Name

BRADFORD GEORGE PETERSON MD

Original Issue Date

06/18/1996

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

CLARENDON HILLS

State

Zip

60514

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/11/2023