BRAD EDMUND MCCOLLOM DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103686

License Status

NOT RENEWED

Business

First Name

BRAD

Middle

EDMUND

Last Name

MCCOLLOM

Suffix

Business Name

BRAD EDMUND MCCOLLOM DO

Original Issue Date

10/23/2000

Effective Date

10/23/2000

Expiration Date

07/31/2002

City

NOVI

State

Zip

48375

County

MICHIGAN

Ever Disciplined

LastModifiedDate

10/09/2006

Case Number

2013007130

Action

Reprimand

Discipline Start Date

12/10/2013

Discipline Reason

after being disciplined by the state of Florida.