License holder summary

MARK STEPHEN BRADLEY is a Controlled Substance Registration - Physician licensed to practice in Indiana. The address on file for MARK STEPHEN BRADLEY is Northside Family Medicine, 3162 N. National Road, Columbus IN 47201. This licensed professional license is not current. The license was granted 12/16/1991 and expired on 06/30/1993.

Indiana

Professional Licensing Agency

MARK STEPHEN BRADLEY
Controlled Substance Registration - Physician
License number
01039842B
Date granted
12/16/1991
Date expires
06/30/1993
Class
Controlled Substance Registration - Physician
Status
Expired
Address
Northside Family Medicine, 3162 N. National Road, Columbus IN 47201
indianalicensing.org
ID 5836724
LAST UPDATED 2024-04-21 14:19:14 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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