JUDITH TUSHNET BRODER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039555

License Status

NOT RENEWED

Business

First Name

JUDITH TUSHNET

Last Name

BRODER

Suffix

Business Name

JUDITH TUSHNET BRODER MD

Original Issue Date

03/02/1965

Effective Date

03/02/1965

City

BEVERLY HILLS

State

Zip

90210

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006