BRADLEY COLE PENNINGTON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085006149

License Status

ACTIVE

Business

First Name

BRADLEY

Middle

COLE

Last Name

PENNINGTON

Business Name

BRADLEY COLE PENNINGTON

Original Issue Date

03/10/2017

Effective Date

12/27/2023

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60611

Ever Disciplined

LastModifiedDate

12/03/2025