BRADLEY G CAMPBELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

BRADLEY G

Last Name

CAMPBELL

Suffix

Business Name

BRADLEY G CAMPBELL MD

Original Issue Date

09/18/1986

Effective Date

09/18/1986

Expiration Date

07/31/2008

City

ALTON

State

Zip

62002

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008