STEPHEN MATTHEW BROADDUS Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085005004

License Status

ACTIVE

Business

First Name

STEPHEN

Middle

MATTHEW

Last Name

BROADDUS

Business Name

STEPHEN MATTHEW BROADDUS

Original Issue Date

03/19/2014

Effective Date

02/03/2026

Expiration Date

03/01/2028

City

TROY

State

Zip

62294

County

MADISON

Ever Disciplined

LastModifiedDate

02/03/2026