BRADLEY A BREEDEN DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036141283

License Status

NOT RENEWED

Business

Title

First Name

BRADLEY

Middle

Last Name

BREEDEN

Business Name

BRADLEY A BREEDEN DO

Original Issue Date

07/21/2016

Effective Date

07/19/2017

Expiration Date

09/30/2020

City

WOOD RIVER

State

Zip

62095

County

MISSOURI

Ever Disciplined

LastModifiedDate

01/14/2021