EDGAR JAMES BREDA JR DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021877

License Status

INACTIVE

Business

First Name

EDGAR JAMES

Last Name

BREDA JR

Suffix

DDS

Business Name

EDGAR JAMES BREDA JR DDS

Original Issue Date

12/12/1989

Effective Date

06/07/2018

Expiration Date

12/31/2021

City

FORT MYERS

State

Zip

33912

Ever Disciplined

LastModifiedDate

09/17/2021