BRADLEY D WOOD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****77

License Status

ACTIVE

Business

First Name

BRADLEY D

Last Name

WOOD

Business Name

BRADLEY D WOOD

Original Issue Date

12/14/1988

Effective Date

05/05/2023

Expiration Date

07/31/2026

City

PANA

State

Zip

62557

County

CHRISTIAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/05/2023