BRADLEY L HOUSTON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****04

License Status

NOT RENEWED

Business

First Name

BRADLEY

Middle

Last Name

HOUSTON

Suffix

Business Name

BRADLEY L HOUSTON MD

Original Issue Date

11/08/1999

Effective Date

05/29/2014

Expiration Date

07/31/2017

City

STILLMAN VALLEY

State

Zip

61084

County

OGLE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017