RODERICK S BRODHEAD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036066728

License Status

NOT RENEWED

Business

First Name

RODERICK S

Last Name

BRODHEAD

Suffix

Business Name

RODERICK S BRODHEAD MD

Original Issue Date

06/21/1983

Effective Date

03/20/2020

Expiration Date

07/31/2023

City

LAKE TOMAHAWK

State

Zip

54539

Ever Disciplined

LastModifiedDate

11/30/2023