BRADLEY A BRENNER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036103337

License Status

NOT RENEWED

Business

First Name

BRADLEY

Middle

Last Name

BRENNER

Suffix

Business Name

BRADLEY A BRENNER MD

Original Issue Date

08/24/2000

Effective Date

08/24/2000

Expiration Date

07/31/2002

City

ST LOUIS

State

Zip

63110

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/09/2006