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
LAST UPDATED 2024-04-25 10:18:51 UTC
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