MARIAN CLARE BRODERSEN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020004442

License Status

NOT RENEWED

Business

First Name

MARIAN CLARE

Last Name

BRODERSEN

Business Name

MARIAN CLARE BRODERSEN

Original Issue Date

04/28/1981

Effective Date

08/27/2018

Expiration Date

01/31/2022

City

BETTENDORF

State

Zip

52722

County

IOWA

Ever Disciplined

LastModifiedDate

05/09/2022