George Salem Brockman Dds
InactiveIllinois license 019015603
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019015603
- Status
- Inactive
- First issued
- July 13, 1976
- Expired
- September 30, 1990
- License holder
- George Salem Brockman Dds
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 07/13/1976
Other Illinois licenses under this name
-
IL
ExpiredWinnetka, ILExpired Sep 30, 1984
Contact
Boca Raton, FL 33433
Florida County