KIM LAWRENCE BROKAW - Dentist License in Illinois | # 019018857

KIM LAWRENCE BROKAW

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018857

License Status

ACTIVE

Business

N

First Name

KIM LAWRENCE

Last Name

BROKAW

Business Name

KIM LAWRENCE BROKAW

Original Issue Date

10/03/1983

Effective Date

09/12/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

09/12/2024