MARILYN EUGENIA BRADDOCK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018310

License Status

NOT RENEWED

Business

First Name

MARILYN EUGENIA

Last Name

BRADDOCK

Business Name

MARILYN EUGENIA BRADDOCK

Original Issue Date

08/03/1982

Effective Date

08/03/1982

Expiration Date

09/30/1986

City

WASHINGTON

State

Zip

20018

County

DISTRICT OF COLUMBIA

Ever Disciplined

LastModifiedDate

10/12/2005