TIMOTHY JOSEPH BROUDER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018653

License Status

NOT RENEWED

Business

First Name

TIMOTHY JOSEPH

Last Name

BROUDER

Business Name

TIMOTHY JOSEPH BROUDER

Original Issue Date

07/25/1983

Effective Date

11/10/2021

Expiration Date

09/30/2024

City

MT PROSPECT

State

Zip

60056

Ever Disciplined

LastModifiedDate

02/04/2025