ALEXANDER TYSON BRADLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****14

License Status

NOT RENEWED

Business

Title

First Name

ALEXANDER

Middle

TYSON

Last Name

BRADLEY

Business Name

ALEXANDER TYSON BRADLEY MD

Original Issue Date

12/16/2021

Effective Date

12/16/2021

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023