JOHN PHILLIPPE BROADNAX Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036124156

License Status

ACTIVE

Business

First Name

JOHN

Middle

PHILLIPPE

Last Name

BROADNAX

Business Name

JOHN PHILLIPPE BROADNAX

Original Issue Date

08/03/2009

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

FLOWER MOUND

State

Zip

75022

County

LAKE

Ever Disciplined

LastModifiedDate

07/06/2023