THOMAS ROBERT BRODERICK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018499

License Status

NOT RENEWED

Business

First Name

THOMAS ROBERT

Last Name

BRODERICK

Business Name

THOMAS ROBERT BRODERICK

Original Issue Date

05/09/1983

Effective Date

05/09/1983

Expiration Date

09/30/1984

City

SAVANNAH

State

Zip

31406

County

GEORGIA

Ever Disciplined

LastModifiedDate

10/12/2005