License holder summary

Angelina Kelly Viscardi Waller is a Medical - Physician Assistant licensed to practice in Colorado. The address on file for Angelina Kelly Viscardi Waller is 7365 S Washington Street, Centennial, CO, 80122-0122. This licensed professional license is current. The license was granted 10/19/2005 and expired on 01/31/2016.

Colorado

Division of Professions and Occupations

Angelina Kelly Viscardi Waller
Medical - Physician Assistant
License number
2178
Date granted
10/19/2005
Date expires
01/31/2016
Class
Medical - Physician Assistant
Status
Active
Address
7365 S Washington Street, Centennial, CO, 80122-0122
coloradolicensing.org
ID 28292676
LAST UPDATED 2024-04-19 20:01:20 UTC

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