BRADLEY M FIDELER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****53

License Status

ACTIVE

Business

Title

First Name

BRADLEY M

Last Name

FIDELER

Business Name

BRADLEY M FIDELER MD

Original Issue Date

11/21/2013

Effective Date

07/28/2023

Expiration Date

07/31/2026

City

HARVARD

State

Zip

60033

County

MCHENRY

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/28/2023