BRADLEY JAMES DAVIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****02

License Status

NOT RENEWED

Business

Title

First Name

BRADLEY

Middle

JAMES

Last Name

DAVIS

Business Name

BRADLEY JAMES DAVIS MD

Original Issue Date

08/22/2012

Effective Date

08/22/2012

Expiration Date

07/31/2014

City

COLORADO SPRINGS

State

Zip

80920

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/08/2014