Colorado
Division of Professions and Occupations
Donna R Long
Medical - Physician
License number
43256
Date granted
01/24/2005
Date expires
04/30/2015
Class
Medical - Physician
Status
Active
Address
16216 S 14th Dr, Phoenix, AZ, 85045-5045
coloradolicensing.org
ID 27419825
LAST UPDATED 2024-02-28 04:27:18 UTC
LAST UPDATED 2024-02-28 04:27:18 UTC
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