JACK O BRADT MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036075442

License Status

INACTIVE

Business

First Name

JACK O

Last Name

BRADT

Suffix

Business Name

JACK O BRADT MD

Original Issue Date

07/18/1987

Effective Date

07/18/1987

Expiration Date

07/31/1990

City

MOUNT HOREB

State

Zip

53572

County

WISCONSIN

Ever Disciplined

LastModifiedDate

09/20/2006