MARK STEPHEN BRADLEY
Controlled Substance Registration - Physician
Indiana 01039842B Expired
This Indiana license was held by MARK STEPHEN BRADLEY. The license is no longer active. It was granted on 12/16/1991 and expired on 06/30/1993
LICENSE DETAILS
- License Number: 01039842B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 12/16/1991 (over 33 years ago)
- Expiry Date: 06/30/1993 (almost 32 years ago)
LOCATIONS
A Address
Northside Family Medicine, 3162 N. National Road, Columbus IN 47201