License holder summary

Laurie Marguerite Mediavilla is a Medical - Physician Assistant licensed to practice in Colorado. The address on file for Laurie Marguerite Mediavilla is 14357 Woodrock Path, Colorado Springs, CO, 80921-0921. This licensed professional license is current. The license was granted 07/09/1998 and expired on 01/31/2016.

Colorado

Division of Professions and Occupations

Laurie Marguerite Mediavilla
Medical - Physician Assistant
License number
1028
Date granted
07/09/1998
Date expires
01/31/2016
Class
Medical - Physician Assistant
Status
Active
Address
14357 Woodrock Path, Colorado Springs, CO, 80921-0921
coloradolicensing.org
ID 28291585
LAST UPDATED 2026-04-20 07:24:35 UTC

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