JASON H BREDENKAMP MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

ACTIVE

Business

First Name

JASON

Middle

Last Name

BREDENKAMP

Suffix

Business Name

JASON H BREDENKAMP MD

Original Issue Date

08/16/1999

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

ROCKFORD

State

Zip

61103

County

WINNEBAGO

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023