EVERETT JOSEPH BROKAW DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

ACTIVE

Business

Title

DMD

First Name

EVERETT

Middle

JOSEPH

Last Name

BROKAW

Business Name

EVERETT JOSEPH BROKAW DMD

Original Issue Date

02/26/2024

Effective Date

08/21/2024

Expiration Date

09/30/2027

City

KNOXVILLE

State

Zip

61448

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

08/21/2024