License holder summary

Nicole M Branum is a Physician Assistants - Temporary Practice Certification licensed to practice in Massachusetts. The address on file for Nicole M Branum is United States, Beverly 01915. This licensed professional license is not current. The license was granted 01/14/2014 and expired on 12/20/2016.

Massachusetts

Division of Professional Licensure

Nicole M Branum
Physician Assistants - Temporary Practice Certification
License number
PAT0059
Date granted
01/14/2014
Date expires
12/20/2016
Class
Physician Assistants - Temporary Practice Certification
Status
Voided
Address
United States
licensingma.org
ID 38549931
LAST UPDATED 2024-04-14 08:49:14 UTC

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