License holder summary

Nicki Ann Bacon is a Medical - Physician licensed to practice in Colorado. The address on file for Nicki Ann Bacon is 3555 Lutheran Parkway, Suite 200, Wheat Ridge, CO, 80020-0020. This licensed professional license is current. The license was granted 01/08/1998 and expired on 04/30/2015.

Colorado

Division of Professions and Occupations

Nicki Ann Bacon
Medical - Physician
License number
36690
Date granted
01/08/1998
Date expires
04/30/2015
Class
Medical - Physician
Status
Active
Address
3555 Lutheran Parkway, Suite 200, Wheat Ridge, CO, 80020-0020
coloradolicensing.org
ID 27409109
LAST UPDATED 2024-03-18 09:01:05 UTC

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