MICHELLE RAE BRADDY MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING RESIDENT

License Number

188000284

License Status

EXPIRED

Business

Title

First Name

MICHELLE

Middle

RAE

Last Name

BRADDY

Business Name

MICHELLE RAE BRADDY MD

Original Issue Date

11/09/2006

Effective Date

11/09/2006

Expiration Date

01/08/2007

City

DIETERICH

State

Zip

62424

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

01/26/2007