BRADLY WILLIAM MINER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008637

License Status

ACTIVE

Business

First Name

BRADLY

Middle

WILLIAM

Last Name

MINER

Business Name

BRADLY WILLIAM MINER

Original Issue Date

09/29/2021

Effective Date

01/30/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60610

County

COOK

Ever Disciplined

LastModifiedDate

01/30/2026