PATRICIA H BRADY Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****34

License Status

NOT RENEWED

Business

First Name

PATRICIA H

Last Name

BRADY

Business Name

PATRICIA H BRADY

Original Issue Date

10/31/1996

Effective Date

10/31/1996

Expiration Date

07/31/2008

City

SPRINGFIELD

State

Zip

62794

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/06/2008