WILLIAM BENJAMIN BRADLEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037963

License Status

NOT RENEWED

Business

First Name

WILLIAM BENJAMIN

Last Name

BRADLEY

Suffix

Business Name

WILLIAM BENJAMIN BRADLEY MD

Original Issue Date

10/18/1962

Effective Date

10/18/1962

City

JEFFERSON CITY

State

County

MISSOURI

Ever Disciplined

LastModifiedDate

09/20/2006