License holder summary

MIKEEA L BROKENBOUGH is a Practical Nurse Temporary Permit licensed to practice in Pennsylvania. The address on file for MIKEEA L BROKENBOUGH is Philadelphia PA 19142. This licensed professional license is not current. The license was granted 01/30/2003 and expired on 01/30/2004.

Pennsylvania

Department of State

MIKEEA L BROKENBOUGH
Practical Nurse Temporary Permit
License number
TLPN002366
Date granted
01/30/2003
Date expires
01/30/2004
Class
Practical Nurse Temporary Permit
Status
Voided
Address
Philadelphia PA 19142
palicensing.org
ID 16884169
LAST UPDATED 2024-03-13 00:17:48 UTC

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