BROC ROBERT HAMMON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137001079

License Status

NOT RENEWED

Business

Title

DMD

First Name

BROC

Middle

ROBERT

Last Name

HAMMON

Business Name

BROC ROBERT HAMMON DMD

Original Issue Date

01/29/2021

Effective Date

10/31/2021

Expiration Date

09/30/2024

City

O FALLON

State

Zip

62269

Specialty/Qualifier

DEEP SEDATION AND GENERAL ANESTHESIA

Ever Disciplined

LastModifiedDate

02/04/2025