MICHAEL DAVID CRADDICK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****66

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Middle

DAVID

Last Name

CRADDICK

Business Name

MICHAEL DAVID CRADDICK DO

Original Issue Date

08/16/2016

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

DAVENPORT

State

Zip

52807

County

PEORIA

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/06/2023