ANGELIQUE NICOLE MCKINNEY-BOURNE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036164773

License Status

ACTIVE

Business

Title

First Name

ANGELIQUE

Middle

NICOLE

Last Name

MCKINNEY-BOURNE

Business Name

ANGELIQUE NICOLE MCKINNEY-BOURNE MD

Original Issue Date

05/22/2023

Effective Date

05/22/2023

Expiration Date

07/31/2026

City

HARRISBURG

State

Zip

17111

Ever Disciplined

LastModifiedDate

05/22/2023