BRADLEY KENT LINDSTROM JR Physician Assistant License verification

Business Entity

INOPERATIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****34

License Status

INOPERATIVE

Business

First Name

BRADLEY

Middle

KENT

Last Name

LINDSTROM

Suffix

Business Name

BRADLEY KENT LINDSTROM JR

Original Issue Date

12/08/2010

Effective Date

03/03/2016

Expiration Date

03/01/2018

City

CHICAGO

State

Zip

60646

County

COOK

Ever Disciplined

LastModifiedDate

05/02/2018