AMANDA MICHELLE BRAMHAM MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

ACTIVE

Business

First Name

AMANDA

Middle

MICHELLE

Last Name

BRAMHAM

Suffix

Business Name

AMANDA MICHELLE BRAMHAM MD

Original Issue Date

09/16/2013

Effective Date

06/01/2023

Expiration Date

07/31/2026

City

MATTOON

State

Zip

61938

County

COLES

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/01/2023