BRADLEY MATTHEW DICKSON MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

ACTIVE

Business

Title

First Name

BRADLEY

Middle

MATTHEW

Last Name

DICKSON

Business Name

BRADLEY MATTHEW DICKSON MD

Original Issue Date

05/13/2021

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60616

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023