BRADLEY T DEWALL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071509

License Status

ACTIVE

Business

First Name

BRADLEY T

Last Name

DEWALL

Suffix

Business Name

BRADLEY T DEWALL MD

Original Issue Date

08/16/1985

Effective Date

07/31/2023

Expiration Date

07/31/2026

City

LECLAIRE

State

Zip

52753

County

IOWA

Ever Disciplined

LastModifiedDate

08/02/2023