License holder summary

Mark Kenneth Widstrom is a Medical - Physician licensed to practice in Colorado. The address on file for Mark Kenneth Widstrom is 7635 YELLOWWOOD DR, COLORADO SPRINGS, CO, 80920-0920. This licensed professional license is not current. The license was granted 03/09/2000 and expired on 05/31/2003.

Colorado

Division of Professions and Occupations

Mark Kenneth Widstrom
Medical - Physician
License number
38543
Date granted
03/09/2000
Date expires
05/31/2003
Class
Medical - Physician
Status
Expired
Address
7635 YELLOWWOOD DR, COLORADO SPRINGS, CO, 80920-0920
coloradolicensing.org
ID 27453665
LAST UPDATED 2024-02-05 13:08:18 UTC

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