Colorado
Division of Professions and Occupations
John De Forest Longwell JR
Medical - Physician
License number
16776
Date granted
10/13/1970
Date expires
12/31/1977
Class
Medical - Physician
Status
Expired
Address
250 STUYVESANT DRIVE, SAN ANSELMO, CA, 99960-9960
coloradolicensing.org
ID 27442839
LAST UPDATED 2024-03-06 22:42:25 UTC
LAST UPDATED 2024-03-06 22:42:25 UTC
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