JEFFREY SHANE BRADLEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036172196

License Status

ACTIVE

Business

Title

First Name

JEFFREY

Middle

SHANE

Last Name

BRADLEY

Business Name

JEFFREY SHANE BRADLEY MD

Original Issue Date

10/01/2024

Effective Date

10/01/2024

Expiration Date

07/31/2026

City

JOPLIN

State

Zip

64804

Ever Disciplined

LastModifiedDate

10/01/2024