BRADLEY W STORM MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077522

License Status

INACTIVE

Business

First Name

BRADLEY W

Last Name

STORM

Suffix

Business Name

BRADLEY W STORM MD

Original Issue Date

08/02/1988

Effective Date

08/02/1988

Expiration Date

07/31/1990

City

OVERLAND PARK

State

Zip

66210

County

KANSAS

Ever Disciplined

LastModifiedDate

09/20/2006