BRADLEY D MUNSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055923

License Status

NOT RENEWED

Business

First Name

BRADLEY D

Last Name

MUNSON

Suffix

Business Name

BRADLEY D MUNSON MD

Original Issue Date

10/17/1977

Effective Date

06/23/2020

Expiration Date

07/31/2023

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/30/2023