Professional Records
License Records
Medical Doctor
Address:
5565 E Custer Pl, Denver, CO 80246
License #:
4480 - Expired
Issued Date:
Jun 23, 2012
Renew Date:
Jun 23, 2012
Expiration Date:
Oct 9, 2013
Type:
Physician Training License
Medical Doctor
Address:
5565 E Custer Pl, Denver, CO 80246
License #:
53081 - Active
Issued Date:
Oct 9, 2013
Renew Date:
May 1, 2015
Expiration Date:
Apr 30, 2017
Type:
Physician
