License holder summary

Tracie Fumiko Hata is a Medical - Physician licensed to practice in Colorado. The address on file for Tracie Fumiko Hata is Kaiser Permanente, 12255 Fair Lakes Pkwy, Fairfax, VA, 22033-2033. This licensed professional license is not current. The license was granted 09/16/1999 and expired on 04/30/2013.

Colorado

Division of Professions and Occupations

Tracie Fumiko Hata
Medical - Physician
License number
38167
Date granted
09/16/1999
Date expires
04/30/2013
Class
Medical - Physician
Status
Expired
Address
Kaiser Permanente, 12255 Fair Lakes Pkwy, Fairfax, VA, 22033-2033
coloradolicensing.org
ID 27439026
LAST UPDATED 2024-04-30 04:47:25 UTC

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