MARVIN LEE BRODER DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012834

License Status

NOT RENEWED

Business

First Name

MARVIN LEE

Last Name

BRODER

Suffix

DDS

Business Name

MARVIN LEE BRODER DDS

Original Issue Date

11/23/1965

Effective Date

11/23/1965

Expiration Date

09/30/2000

City

SAN JUAN CAPISTRANO

State

Zip

92675

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

10/17/2005