GEORGE T BRODERICK JR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036073518

License Status

NOT RENEWED

Business

First Name

GEORGE T

Last Name

BRODERICK JR

Suffix

Business Name

GEORGE T BRODERICK JR MD

Original Issue Date

08/19/1986

Effective Date

08/19/1986

Expiration Date

07/31/1993

City

DAYTON

State

Zip

45433

County

OHIO

Ever Disciplined

LastModifiedDate

09/20/2006