Colorado
Division of Professions and Occupations
Dean Ty Smith
Medical - Physician
License number
31990
Date granted
07/16/1992
Date expires
05/31/2001
Class
Medical - Physician
Status
Expired
Address
220 BANNOCK ST, MALAD, ID, 83252-3252
coloradolicensing.org
ID 27450295
LAST UPDATED 2024-03-09 05:32:47 UTC
LAST UPDATED 2024-03-09 05:32:47 UTC
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