BRADLY WILLIAM MINER Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****82

License Status

ACTIVE

Business

First Name

BRADLY

Middle

WILLIAM

Last Name

MINER

Business Name

BRADLY WILLIAM MINER

Original Issue Date

12/01/2021

Effective Date

01/30/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60611

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/30/2026