LISA A WHITTY BRADLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****22

License Status

NOT RENEWED

Business

First Name

LISA

Middle

Last Name

WHITTY BRADLEY

Suffix

Business Name

LISA A WHITTY BRADLEY MD

Original Issue Date

08/15/2008

Effective Date

08/04/2017

Expiration Date

09/30/2020

City

OAK PARK

State

Zip

60303

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021