License holder summary

Derek Taylor Bennetsen is a Medical - Pro Bono Physician licensed to practice in Colorado. The address on file for Derek Taylor Bennetsen is 620 S Main St Ste 100, Keller, TX, 76248-4960. This licensed professional license is current. The license was granted 04/09/2014 and expired on 04/30/2015.

Colorado

Division of Professions and Occupations

Derek Taylor Bennetsen
Medical - Pro Bono Physician
License number
579
Date granted
04/09/2014
Date expires
04/30/2015
Class
Medical - Pro Bono Physician
Status
Active
Address
620 S Main St Ste 100, Keller, TX, 76248-4960
coloradolicensing.org
ID 27455824
LAST UPDATED 2022-07-06 21:57:25 UTC

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