THOMAS ROBERT BRODERICK - Dentist License in Georgia | # 019018499

THOMAS ROBERT BRODERICK

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018499

License Status

NOT RENEWED

Business

N

First Name

THOMAS ROBERT

Last Name

BRODERICK

Business Name

THOMAS ROBERT BRODERICK

Original Issue Date

05/09/1983

Effective Date

05/09/1983

Expiration Date

09/30/1984

State

GA

Ever Disciplined

N

LastModifiedDate

10/12/2005