Colorado
Division of Professions and Occupations
Stephanie Mccullough Bacon
Medical - Physician Assistant
License number
719
Date granted
12/16/1994
Date expires
01/31/2016
Class
Medical - Physician Assistant
Status
Active
Address
12379 W. Alabama Pl., Lakewood, CO, 80228-0228
coloradolicensing.org
ID 28289844
LAST UPDATED 2024-03-07 04:31:33 UTC
LAST UPDATED 2024-03-07 04:31:33 UTC
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