JACOB ALEXANDER BRADDOCK DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036174923

License Status

ACTIVE

Business

Title

First Name

JACOB

Middle

ALEXANDER

Last Name

BRADDOCK

Business Name

JACOB ALEXANDER BRADDOCK DO

Original Issue Date

05/09/2025

Effective Date

05/09/2025

Expiration Date

07/31/2026

City

SOUTH BEND

State

Zip

46601

Ever Disciplined

LastModifiedDate

05/09/2025