License holder summary

BRADLEY D MANGUM is a Nurses - Authorized Advanced Nurse Practitioner licensed to practice in Alaska. The address on file for BRADLEY D MANGUM is 1678 STERLING HWY HOMER AK 99603. This licensed professional license is current. The license was granted 09/07/2011 and expired on 11/30/2012.

Alaska

Division of Corporations, Business and Professional Licensing

BRADLEY D MANGUM
Nurses - Authorized Advanced Nurse Practitioner
License number
1253
Date granted
09/07/2011
Date expires
11/30/2012
Class
Nurses - Authorized Advanced Nurse Practitioner
Status
Licensed
Address
1678 STERLING HWY HOMER AK 99603
alaskalicensing.com
ID 20243322
LAST UPDATED 2021-10-15 07:28:12 UTC

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