SUSAN E BRADFORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****17

License Status

NOT RENEWED

Business

First Name

SUSAN E

Last Name

BRADFORD

Suffix

Business Name

SUSAN E BRADFORD MD

Original Issue Date

01/07/1992

Effective Date

01/07/1992

Expiration Date

07/31/1993

City

LAWRENCEVILLE

State

Zip

62439

County

LAWRENCE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006