Colorado
Division of Professions and Occupations
Jennifer Katherine Wallace
Medical - Physician Assistant
License number
2826
Date granted
07/15/2009
Date expires
01/31/2012
Class
Medical - Physician Assistant
Status
Expired
Address
2129 E 16th Ave, Denver, CO, 80206-0206
coloradolicensing.org
ID 28294326
LAST UPDATED 2024-02-02 00:49:58 UTC
LAST UPDATED 2024-02-02 00:49:58 UTC
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