BRADLEY HERMAN STEPHENS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****59

License Status

ACTIVE

Business

Title

First Name

BRADLEY

Middle

HERMAN

Last Name

STEPHENS

Business Name

BRADLEY HERMAN STEPHENS MD

Original Issue Date

06/22/2022

Effective Date

07/04/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/04/2023