DAVID E BRODSTEIN MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082302

License Status

INACTIVE

Business

First Name

DAVID E

Last Name

BRODSTEIN

Suffix

Business Name

DAVID E BRODSTEIN MD

Original Issue Date

04/09/1991

Effective Date

04/09/1991

Expiration Date

07/31/1993

City

OGDEN

State

Zip

84403

County

UTAH

Ever Disciplined

LastModifiedDate

09/20/2006