KEVIN ROSS BRADER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

ACTIVE

Business

First Name

KEVIN

Middle

ROSS

Last Name

BRADER

Suffix

Business Name

KEVIN ROSS BRADER MD

Original Issue Date

01/02/2019

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

GRAND RAPIDS

State

Zip

49506

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023