BRAD C BARTH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

BRAD C

Last Name

BARTH

Suffix

Business Name

BRAD C BARTH MD

Original Issue Date

07/08/1996

Effective Date

07/08/1996

Expiration Date

07/31/1999

City

METROPOLIS

State

Zip

62960

County

MASSAC

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006