BRADLEY C STUFFLEBAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036058847

License Status

ACTIVE

Business

First Name

BRADLEY C

Last Name

STUFFLEBAM

Suffix

Business Name

BRADLEY C STUFFLEBAM MD

Original Issue Date

07/12/1979

Effective Date

07/17/2023

Expiration Date

07/31/2026

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

01/07/2025