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 The license is no longer active.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