RUSSELL RAY BROADDUS
Medical Physician And Surgeon
Pennsylvania MD064920L Inactive
This Pennsylvania license was held by RUSSELL RAY BROADDUS. The license is no longer active. It was granted on 03/11/1998 and expired on 12/31/2002
LICENSE DETAILS
- License Number: MD064920L
- Category: Medical Physician and Surgeon
- Status: Inactive
- Date Granted: 03/11/1998 (about 26 years ago)
- Expiry Date: 12/31/2002 (over 21 years ago)
LOCATIONS
A Address
HOUSTON TX 77027