License holder summary

BROUSSARD JACK S JR is a Dental - General Anesthesia licensed to practice in California. The address on file for BROUSSARD JACK S JR is PASADENA. This licensed professional license is not current. The license was granted 01/23/1981 and expired on 01/31/1984.

California

Department of Consumer Affairs

BROUSSARD JACK S JR
Dental - General Anesthesia
License number
511
Date granted
01/23/1981
Date expires
01/31/1984
Class
Dental - General Anesthesia
Status
Canceled
Address
PASADENA
californialicensing.org
ID 10906853
LAST UPDATED 2024-03-25 19:47:42 UTC

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