BRADLEY WILLIAM STOCKMANN MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****44

License Status

ACTIVE

Business

Title

First Name

BRADLEY

Middle

WILLIAM

Last Name

STOCKMANN

Business Name

BRADLEY WILLIAM STOCKMANN MD

Original Issue Date

06/05/2013

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

ST LOUIS

State

Zip

63124

County

MISSOURI

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/01/2023