Professional Records
License Records
Medical Doctor
Address:
13001 E 17 Pl, Aurora, CO 80045
License #:
4425 - Expired
Issued Date:
Jun 23, 2012
Renew Date:
Jun 23, 2012
Expiration Date:
Jul 9, 2014
Type:
Physician Training License
Medical Doctor
Address:
13001 E 17 Pl, Aurora, CO 80045
License #:
54120 - Active
Issued Date:
Jul 9, 2014
Renew Date:
May 1, 2015
Expiration Date:
Apr 30, 2017
Type:
Physician
