BRADLEY WILLIS BRANHAM DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038009031

License Status

NOT RENEWED

Business

First Name

BRADLEY

Middle

WILLIS

Last Name

BRANHAM

Suffix

Business Name

BRADLEY WILLIS BRANHAM DC

Original Issue Date

03/27/2000

Effective Date

03/27/2000

Expiration Date

07/31/2002

City

FORT WAYNE

State

Zip

46845

Ever Disciplined

LastModifiedDate

10/09/2006