JOSEPH BRADLEY BAVARO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****54

License Status

ACTIVE

Business

Title

First Name

JOSEPH

Middle

BRADLEY

Last Name

BAVARO

Business Name

JOSEPH BRADLEY BAVARO MD

Original Issue Date

06/29/2015

Effective Date

06/26/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60654

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/26/2023