License holder summary

MICHELE LESLIE BRODER is a Dentistry - Anesthesia Permit - Restricted II licensed to practice in Pennsylvania. The address on file for MICHELE LESLIE BRODER is Ardmore PA 19003. This licensed professional license is not current. The license was granted 03/04/1992 and expired on 03/31/2003.

Pennsylvania

Department of State

MICHELE LESLIE BRODER
Dentistry - Anesthesia Permit - Restricted II
License number
DN026552A
Date granted
03/04/1992
Date expires
03/31/2003
Class
Dentistry - Anesthesia Permit - Restricted II
Status
Inactive
Address
Ardmore PA 19003
palicensing.org
ID 16536716
LAST UPDATED 2024-04-26 13:40:17 UTC

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