KRISTIN A BRADLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

NOT RENEWED

Business

First Name

KRISTIN

Middle

Last Name

BRADLEY

Suffix

Business Name

KRISTIN A BRADLEY MD

Original Issue Date

06/18/2004

Effective Date

08/01/2011

Expiration Date

07/31/2014

City

FREEPORT

State

Zip

61032

County

STEPHENSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020