KIMBERLY E BROCKENBROUGH Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107196

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

Last Name

BROCKENBROUGH

Business Name

KIMBERLY E BROCKENBROUGH

Original Issue Date

06/13/2002

Effective Date

07/30/2023

Expiration Date

07/31/2026

City

CLYDE HILL

State

Zip

98004

Ever Disciplined

LastModifiedDate

07/30/2023