Colorado
Division of Professions and Occupations
Lydia Laura Prusinowski
Medical - Physician Assistant
License number
4156
Date granted
11/10/2014
Date expires
01/31/2016
Class
Medical - Physician Assistant
Status
Active
Address
13303 Pinehurst Ln, Grand Blanc, MI, 48439-2637
coloradolicensing.org
ID 28291981
LAST UPDATED 2026-04-20 01:41:51 UTC
LAST UPDATED 2026-04-20 01:41:51 UTC
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