License holder summary

RANDALL LEE BRADDOM is a Physician licensed to practice in Indiana. The address on file for RANDALL LEE BRADDOM is Middletown NJ 07748. This licensed professional license is not current. The license was granted 05/23/1991 and expired on 06/30/2003.

Indiana

Professional Licensing Agency

RANDALL LEE BRADDOM
Physician
License number
01039234A
Date granted
05/23/1991
Date expires
06/30/2003
Class
Physician
Status
Expired Non-Renewable
Address
Middletown NJ 07748
indianalicensing.org
ID 6078178
LAST UPDATED 2024-03-28 22:22:09 UTC

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