BRADEN DANIEL PRICE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151991

License Status

NOT RENEWED

Business

Title

First Name

BRADEN

Middle

DANIEL

Last Name

PRICE

Business Name

BRADEN DANIEL PRICE DO

Original Issue Date

02/28/2020

Effective Date

07/21/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

11/30/2023