RICHARD DALE BRADLEY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052057

License Status

INACTIVE

Business

First Name

RICHARD DALE

Last Name

BRADLEY

Suffix

Business Name

RICHARD DALE BRADLEY MD

Original Issue Date

11/14/1975

Effective Date

11/14/1975

Expiration Date

07/31/1996

City

FOND DU LAC

State

Zip

54935

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006