BRADLEY DAVID ALLEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****27

License Status

ACTIVE

Business

Title

First Name

BRADLEY

Middle

DAVID

Last Name

ALLEN

Business Name

BRADLEY DAVID ALLEN MD

BusinessDBA

BRAD ALLEN

Original Issue Date

02/06/2017

Effective Date

05/04/2023

Expiration Date

07/31/2026

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/04/2023