License holder summary

BROUSSARD , KENNETH D is a Department Of Health - Emergency Medical Personnel licensed to practice in Tennessee. This medical licensee license is not current. The license was granted 06/17/1987 and expired on 06/30/1989.

Department of Health

Board of Medical Examiners

BROUSSARD , KENNETH D
Department Of Health - Emergency Medical Personnel
License number
12924
Date granted
06/17/1987
Date expires
06/30/1989
Class
Department Of Health - Emergency Medical Personnel
Status
Expired
Address
medicaltn.com
ID 42013505
LAST UPDATED 2024-04-14 06:44:35 UTC

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