License holder summary

Mary Ellen Broughton is a Medical - Physician Assistant licensed to practice in Minnesota. The address on file for Mary Ellen Broughton is 11901 louisiana circle, Champlin, MN 55316. This licensed professional license is current. The license was granted 09/08/2007 and expired on 06/30/2015.

Minnesota

Department of Labor and Industry

Mary Ellen Broughton
Medical - Physician Assistant
License number
10288
Date granted
09/08/2007
Date expires
06/30/2015
Class
Medical - Physician Assistant
Status
Active
Address
11901 louisiana circle, Champlin, MN 55316
mnlicensing.org
ID 22349764
LAST UPDATED 2024-02-22 22:37:18 UTC

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