License holder summary

Ben Robert Thebaut JR is a Medical - Physician licensed to practice in Colorado. The address on file for Ben Robert Thebaut JR is 70 S Val Vista Dr Ste A3-175, Gilbert, AZ, 85296-1388. This licensed professional license is current. The license was granted 01/16/2013 and expired on 04/30/2015.

Colorado

Division of Professions and Occupations

Ben Robert Thebaut JR
Medical - Physician
License number
52006
Date granted
01/16/2013
Date expires
04/30/2015
Class
Medical - Physician
Status
Active
Address
70 S Val Vista Dr Ste A3-175, Gilbert, AZ, 85296-1388
coloradolicensing.org
ID 27428085
LAST UPDATED 2024-02-27 20:15:39 UTC

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