MARK JAMES BROOMHEAD DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026740

License Status

ACTIVE

Business

First Name

MARK

Middle

JAMES

Last Name

BROOMHEAD

Suffix

DDS

Business Name

MARK JAMES BROOMHEAD DDS

Original Issue Date

05/25/2005

Effective Date

06/05/2024

Expiration Date

09/30/2027

City

ST JOHN

State

Zip

46373

County

COOK

Ever Disciplined

LastModifiedDate

06/05/2024