BENJAMIN GEORGE BROGHAMMER MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036162842

License Status

ACTIVE

Business

Title

First Name

BENJAMIN

Middle

GEORGE

Last Name

BROGHAMMER

Business Name

BENJAMIN GEORGE BROGHAMMER MD

Original Issue Date

11/07/2022

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

MEQUON

State

Zip

53092

Ever Disciplined

LastModifiedDate

07/06/2023