MARK F BRADBURY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****85

License Status

NOT RENEWED

Business

First Name

MARK F

Last Name

BRADBURY

Suffix

Business Name

MARK F BRADBURY MD

Original Issue Date

03/21/1996

Effective Date

03/21/1996

Expiration Date

07/31/1999

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006