License holder summary

Jack Mark Fishaut is a Medical - Physician licensed to practice in Colorado. The address on file for Jack Mark Fishaut is 4251 OAKWOOD DRIVE, WILLIAMSVILLE, NY, 14221-4221. This licensed professional license is not current. The license was granted 10/10/1978 and expired on 12/31/1979.

Colorado

Division of Professions and Occupations

Jack Mark Fishaut
Medical - Physician
License number
21968
Date granted
10/10/1978
Date expires
12/31/1979
Class
Medical - Physician
Status
Expired
Address
4251 OAKWOOD DRIVE, WILLIAMSVILLE, NY, 14221-4221
coloradolicensing.org
ID 27436769
LAST UPDATED 2026-06-24 18:52:29 UTC

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