JAMES MARDEN BROADBENT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019013565

License Status

NOT RENEWED

Business

First Name

JAMES MARDEN

Last Name

BROADBENT

Suffix

DDS

Business Name

JAMES MARDEN BROADBENT DDS

Original Issue Date

07/14/1969

Effective Date

07/14/1969

Expiration Date

09/30/1984

City

PROVO

State

Zip

84601

County

UTAH

Ever Disciplined

LastModifiedDate

10/12/2005