LYNN S BRODERICK MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036080293

License Status

NOT RENEWED

Business

First Name

LYNN S

Last Name

BRODERICK

Suffix

Business Name

LYNN S BRODERICK MD

Original Issue Date

07/09/1990

Effective Date

07/10/2014

Expiration Date

07/31/2017

City

MADISON

State

Zip

53715

County

WISCONSIN

Ever Disciplined

LastModifiedDate

11/01/2017