License holder summary

Farrel Keith VanWagenen is a Medical - Physician licensed to practice in Colorado. The address on file for Farrel Keith VanWagenen is Colorado Springs Radiologists, 1390 Kelly Johnson Blvd, Colorado Springs, CO, 80920-3908. This licensed professional license is current. The license was granted 05/15/1997 and expired on 04/30/2015.

Colorado

Division of Professions and Occupations

Farrel Keith VanWagenen
Medical - Physician
License number
36025
Date granted
05/15/1997
Date expires
04/30/2015
Class
Medical - Physician
Status
Active
Address
Colorado Springs Radiologists, 1390 Kelly Johnson Blvd, Colorado Springs, CO, 80920-3908
coloradolicensing.org
ID 27428707
LAST UPDATED 2024-03-13 07:17:38 UTC

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