STEPHEN J BRADLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****26

License Status

NOT RENEWED

Business

First Name

STEPHEN J

Last Name

BRADLEY

Suffix

Business Name

STEPHEN J BRADLEY MD

Original Issue Date

04/05/1989

Effective Date

04/18/2014

Expiration Date

07/31/2017

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017