License holder summary

Jacqueline Bernadine Petravage is a Medical - Physician licensed to practice in Colorado. The address on file for Jacqueline Bernadine Petravage is 1522 EAST A STREET, CASPER, WY, 82601-2601. This licensed professional license is not current. The license was granted 07/11/1985 and expired on 05/31/1989.

Colorado

Division of Professions and Occupations

Jacqueline Bernadine Petravage
Medical - Physician
License number
26935
Date granted
07/11/1985
Date expires
05/31/1989
Class
Medical - Physician
Status
Expired
Address
1522 EAST A STREET, CASPER, WY, 82601-2601
coloradolicensing.org
ID 27446819
LAST UPDATED 2024-02-24 08:52:09 UTC

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