License holder summary

LORI NICOLE BRACKBILL is a Temporary Physician Assistant licensed to practice in Pennsylvania. The address on file for LORI NICOLE BRACKBILL is Paradise PA 17562. This licensed professional license is not current. The license was granted 08/31/2011 and expired on 08/31/2012.

Pennsylvania

Department of State

LORI NICOLE BRACKBILL
Temporary Physician Assistant
License number
TMA052569
Date granted
08/31/2011
Date expires
08/31/2012
Class
Temporary Physician Assistant
Status
Voided
Address
Paradise PA 17562
palicensing.org
ID 16655487
LAST UPDATED 2024-04-25 10:18:51 UTC

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