GERALD LLOYD BROUHARD DMD - Dentist License in Oregon | # 019014198

GERALD LLOYD BROUHARD DMD

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014198

License Status

INACTIVE

Business

N

First Name

GERALD LLOYD

Last Name

BROUHARD

Suffix

DMD

Business Name

GERALD LLOYD BROUHARD DMD

Original Issue Date

12/06/1971

Effective Date

12/06/1971

Expiration Date

09/30/1990

State

OR

Ever Disciplined

N

LastModifiedDate

10/12/2005