MARY T BRADY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

NOT RENEWED

Business

First Name

MARY T

Last Name

BRADY

Suffix

Business Name

MARY T BRADY MD

Original Issue Date

04/05/2007

Effective Date

04/05/2007

Expiration Date

07/31/2008

City

OLNEY

State

Zip

62450

County

RICHLAND

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020