BRADLEY JOSEPH TISSIER MD Medical Doctor License verification

Business Entity

INOPERATIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

INOPERATIVE

Business

First Name

BRADLEY

Middle

JOSEPH

Last Name

TISSIER

Suffix

Business Name

BRADLEY JOSEPH TISSIER MD

Original Issue Date

06/18/1998

Effective Date

06/28/2023

Expiration Date

07/31/2026

City

FAIRVIEW HEIGHTS

State

Zip

62208

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/28/2023