BRADLEY ALLEN NINE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166370

License Status

ACTIVE

Business

Title

First Name

BRADLEY

Middle

ALLEN

Last Name

NINE

Business Name

BRADLEY ALLEN NINE MD

Original Issue Date

08/08/2023

Effective Date

08/08/2023

Expiration Date

07/31/2026

City

CHARLESTON

State

Zip

25302

Ever Disciplined

LastModifiedDate

08/08/2023