HERBERT HERMAN BROKHOF JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****30

License Status

NOT RENEWED

Business

First Name

HERBERT HERMAN

Last Name

BROKHOF JR

Suffix

DDS

Business Name

HERBERT HERMAN BROKHOF JR DDS

Original Issue Date

01/01/1998

Effective Date

08/08/2022

Expiration Date

09/30/2024

City

OLNEY

State

Zip

62450

County

RICHLAND

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/04/2025