BRADEN DANIEL PRICE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****96

License Status

NOT RENEWED

Business

Title

First Name

BRADEN

Middle

DANIEL

Last Name

PRICE

Business Name

BRADEN DANIEL PRICE DO

Original Issue Date

03/11/2020

Effective Date

09/22/2020

Expiration Date

07/31/2023

City

SPRINGFIELD

State

Zip

62781

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023