KEVIN ROSS BRADER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085706

License Status

ACTIVE

Business

First Name

KEVIN

Middle

ROSS

Last Name

BRADER

Suffix

Business Name

KEVIN ROSS BRADER MD

Original Issue Date

12/03/1992

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

GRAND RAPIDS

State

Zip

49506

Ever Disciplined

LastModifiedDate

04/09/2023