BRADLEY F MELLIERE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

First Name

BRADLEY F

Last Name

MELLIERE

Suffix

Business Name

BRADLEY F MELLIERE MD

Original Issue Date

12/01/1988

Effective Date

04/21/2023

Expiration Date

07/31/2026

City

LONG GROVE

State

Zip

60047

County

LAKE

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

04/21/2023