WILLIAM BRADFORD LEA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036172059

License Status

ACTIVE

Business

Title

First Name

WILLIAM

Middle

BRADFORD

Last Name

LEA

Business Name

WILLIAM BRADFORD LEA MD

Original Issue Date

09/19/2024

Effective Date

09/19/2024

Expiration Date

07/31/2026

City

CARBONDALE

State

Zip

62901

Ever Disciplined

LastModifiedDate

09/19/2024