License holder summary

Marie Anne Johantgen is a Medical - Physician licensed to practice in Colorado. The address on file for Marie Anne Johantgen is 2206 NE 40TH AVENUE, PORTLAND, OR, 97212-7212. This licensed professional license is not current. The license was granted 06/09/1989 and expired on 05/31/1999.

Colorado

Division of Professions and Occupations

Marie Anne Johantgen
Medical - Physician
License number
29508
Date granted
06/09/1989
Date expires
05/31/1999
Class
Medical - Physician
Status
Expired
Address
2206 NE 40TH AVENUE, PORTLAND, OR, 97212-7212
coloradolicensing.org
ID 27440505
LAST UPDATED 2024-02-11 04:29:57 UTC

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