BRAD M BORGWARDT 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

First Name

BRAD M

Last Name

BORGWARDT

Suffix

Business Name

BRAD M BORGWARDT MD

Original Issue Date

05/22/1986

Effective Date

05/22/1986

Expiration Date

07/31/1987

City

CLINTON

State

Zip

52732

County

IOWA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011