GEORGE SALEM BROCKMAN DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015603

License Status

INACTIVE

Business

First Name

GEORGE SALEM

Last Name

BROCKMAN

Suffix

DDS

Business Name

GEORGE SALEM BROCKMAN DDS

Original Issue Date

07/13/1976

Effective Date

07/13/1976

Expiration Date

09/30/1990

City

BOCA RATON

State

Zip

33433

County

FLORIDA

Ever Disciplined

LastModifiedDate

10/12/2005