BRADEN MICHAEL BRUNDAGE DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

TEMPORARY PODIATRIC PHYSICIAN

License Number

135001258

License Status

ACTIVE

Business

Title

DPM

First Name

BRADEN

Middle

MICHAEL

Last Name

BRUNDAGE

Business Name

BRADEN MICHAEL BRUNDAGE DPM

Original Issue Date

06/09/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

NORTH CHICAGO

State

Zip

60064

Ever Disciplined

LastModifiedDate

06/10/2025