BRADLEY A MAXFIELD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036111769

License Status

ACTIVE

Business

First Name

BRADLEY

Middle

Last Name

MAXFIELD

Suffix

Business Name

BRADLEY A MAXFIELD MD

Original Issue Date

07/06/2004

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61104

Ever Disciplined

LastModifiedDate

06/09/2023