STEPHEN R BRADDOCK MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036126559

License Status

ACTIVE

Business

Title

First Name

STEPHEN

Middle

Last Name

BRADDOCK

Business Name

STEPHEN R BRADDOCK MD

Original Issue Date

08/25/2010

Effective Date

10/15/2024

Expiration Date

07/31/2026

City

SAINT LOUIS

State

Zip

63104

Ever Disciplined

LastModifiedDate

10/15/2024