GARY DAVID BROOM DC Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038008602

License Status

NOT RENEWED

Business

First Name

GARY

Middle

DAVID

Last Name

BROOM

Suffix

Business Name

GARY DAVID BROOM DC

Original Issue Date

09/28/1998

Effective Date

07/01/2008

Expiration Date

07/31/2011

City

LOVES PARK

State

Zip

61111

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

11/10/2011