Professional Records
License Records
Medical Doctor
Address:
8945 Hanging Tree Dr, Salida, CO 81201
License #:
17483 - Expired
Issued Date:
Jul 11, 1972
Renew Date:
Jun 1, 2011
Expiration Date:
Apr 26, 2013
Type:
Physician
Medical Doctor
Address:
8945 Hanging Tree Dr, Salida, CO 81201
License #:
538 - Active
Issued Date:
Apr 26, 2013
Renew Date:
May 1, 2015
Expiration Date:
Apr 30, 2017
Type:
Pro Bono Physician