BRADLEY COLE PENNINGTON Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****90

License Status

ACTIVE

Business

First Name

BRADLEY

Middle

COLE

Last Name

PENNINGTON

Business Name

BRADLEY COLE PENNINGTON

Original Issue Date

04/10/2017

Effective Date

12/27/2023

Expiration Date

03/01/2026

City

CHICAGO

State

Zip

60611

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

12/03/2025