JEROME HENRY BRODISH MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041004

License Status

INACTIVE

Business

First Name

JEROME HENRY

Last Name

BRODISH

Suffix

Business Name

JEROME HENRY BRODISH MD

Original Issue Date

05/25/1967

Effective Date

05/25/1967

Expiration Date

07/31/1984

City

SAN DIEGO

State

Zip

92128

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006