Colorado
Division of Professions and Occupations
Edward P. Southern
Medical - Physician
License number
44972
Date granted
08/18/2006
Date expires
04/30/2015
Class
Medical - Physician
Status
Active
Address
19605 Chimo West Street, Wayzata, MN, 55391-3506
coloradolicensing.org
ID 27427041
LAST UPDATED 2024-03-10 16:50:30 UTC
LAST UPDATED 2024-03-10 16:50:30 UTC
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