KELLEIGH ELIZABETH BRIDEN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****31

License Status

ACTIVE

Business

Title

First Name

KELLEIGH

Middle

ELIZABETH

Last Name

BRIDEN

Business Name

KELLEIGH ELIZABETH BRIDEN MD

Original Issue Date

05/15/2018

Effective Date

04/19/2023

Expiration Date

07/31/2026

City

SHILOH

State

Zip

62269

County

SAINT CLAIR

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/19/2023