Colorado
Division of Professions and Occupations
Michelle B Waller
Medical - Physician Assistant
License number
1983
Date granted
09/10/2004
Date expires
01/31/2016
Class
Medical - Physician Assistant
Status
Active
Address
4325 Stonecliff Drive, Evergreen, CO, 80439-0439
coloradolicensing.org
ID 28292678
LAST UPDATED 2024-05-03 05:13:37 UTC
LAST UPDATED 2024-05-03 05:13:37 UTC
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