BROKENICKY, ALAN LEE - Licensee Information

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Last Update: Monday, May 20, 2024 7:03 PM CDT
Next Update: Tuesday, May 21, 2024 2:50 AM CDT

BROKENICKY, ALAN LEE

Practice Address:	Not Practicing as of 8/22/2018 Address last updated on 3/25/2024
Phone #:
Fax #:
County:	NOT OKLAHOMA
License:	1752
Dated:	10/17/2008
Expires:	3/31/2025
Temp. Ltr. Issued:	7/18/2008
Temp. Ltr. Expires:	11/7/2008
License Type:	Physician Assistant
Specialty:

Status:	Active
Status Class:	Not Practicing
Restricted to:
CME Year:	2025

Pending and/or Past Disciplinary Actions: No Disciplinary Action Taken.

All information below is entered by the licensee but not verified by the Oklahoma Medical Board.

Locations:	Hours:	Languages:
Not Practicing as of 8/22/2018 Phone #: Fax #:

Hospital Privileges:

None listed

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Oklahoma State Board of Medical Licensure and Supervision :: 101 NE 51st St, Oklahoma City, OK 73105-1821
Main Number: (405) 962-1400 :: Fax: (405) 962-1440 :: Complaints outside 405 area code: 1-800-381-4519
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