License Directory

Thomas Robert Broderick

Expired

Illinois license 31*****00

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
31*****00
Status
Expired (Not Renewed)
First issued
June 13, 1983
Expired
September 30, 1984
License holder
Thomas Robert Broderick
Entity type
Individual

Classifications

  • Licensed Dentist Controlled Substance (Dental) Dental

More from the license record

Controlled substance schedules
II III IV V
Current term began
06/13/1983

Other Illinois licenses under this name

Contact

Cahokia, IL 62206
Saint Clair County