MATTHEW WALTER BRADLEY MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****42

License Status

ACTIVE

Business

Title

First Name

MATTHEW

Middle

WALTER

Last Name

BRADLEY

Business Name

MATTHEW WALTER BRADLEY MD

Original Issue Date

07/01/2021

Effective Date

06/15/2023

Expiration Date

07/31/2026

City

CHESTERFIELD

State

Zip

63017

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/15/2023