MARY T BRADY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****65

License Status

NOT RENEWED

Business

First Name

MARY T

Last Name

BRADY

Suffix

Business Name

MARY T BRADY MD

Original Issue Date

12/31/1987

Effective Date

12/31/1987

Expiration Date

07/31/1990

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020