GERALD LLOYD BROUHARD DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014198

License Status

INACTIVE

Business

First Name

GERALD LLOYD

Last Name

BROUHARD

Suffix

DMD

Business Name

GERALD LLOYD BROUHARD DMD

Original Issue Date

12/06/1971

Effective Date

12/06/1971

Expiration Date

09/30/1990

City

NORTH BEND

State

Zip

97459

County

OREGON

Ever Disciplined

LastModifiedDate

10/12/2005