BRADLEY V DAVITT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036094263

License Status

INACTIVE

Business

First Name

BRADLEY V

Last Name

DAVITT

Suffix

Business Name

BRADLEY V DAVITT MD

Original Issue Date

09/24/1996

Effective Date

09/24/1996

Expiration Date

07/31/2005

City

ST LOUIS

State

Zip

63104

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006