Colorado
Division of Professions and Occupations
Jessica Faye Wallace
Medical - Physician Assistant
License number
3697
Date granted
05/06/2013
Date expires
01/31/2016
Class
Medical - Physician Assistant
Status
Active
Address
5313 Aztec Drive, Boulder, CO, 80303-0303
coloradolicensing.org
ID 28292674
LAST UPDATED 2024-02-23 19:58:14 UTC
LAST UPDATED 2024-02-23 19:58:14 UTC
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