JAMES J BRADSTREET MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

JAMES J

Last Name

BRADSTREET

Suffix

Business Name

JAMES J BRADSTREET MD

Original Issue Date

04/05/1982

Effective Date

04/05/1982

Expiration Date

07/31/1984

City

SCOTT AFB

State

Zip

62225

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006