MICHELLE RAE BRADDY MD - Medical Doctor License in Illinois | # 188000284

MICHELLE RAE BRADDY MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000284

License Status

EXPIRED

Business

N

Title

MD

First Name

MICHELLE

Middle

RAE

Last Name

BRADDY

Business Name

MICHELLE RAE BRADDY MD

Original Issue Date

11/09/2006

Effective Date

11/09/2006

Expiration Date

01/08/2007

State

IL

Specialty/Qualifier

Family Medicine

Ever Disciplined

N

LastModifiedDate

01/26/2007