DONALD S BRODER MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036038875

License Status

INACTIVE

Business

First Name

DONALD S

Last Name

BRODER

Suffix

Business Name

DONALD S BRODER MD

Original Issue Date

12/05/1963

Effective Date

12/05/1963

Expiration Date

07/31/1984

City

BEVERLY HILLS

State

Zip

90210

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006