CARRIE MARELL BRADFORD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****83

License Status

ACTIVE

Business

First Name

CARRIE

Middle

MARELL

Last Name

BRADFORD

Suffix

Business Name

CARRIE MARELL BRADFORD MD

Original Issue Date

05/09/2008

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

PALOS HEIGHTS

State

Zip

60463

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023