License holder summary

Phillip Willie Tan Polido is a Medical - Physician licensed to practice in Colorado. The address on file for Phillip Willie Tan Polido is 3903 LONE TREE WAY 210, ANTIOCH, CA, 94509-4509. This licensed professional license is not current. The license was granted 11/14/1978 and expired on 05/31/2001.

Colorado

Division of Professions and Occupations

Phillip Willie Tan Polido
Medical - Physician
License number
22076
Date granted
11/14/1978
Date expires
05/31/2001
Class
Medical - Physician
Status
Expired
Address
3903 LONE TREE WAY 210, ANTIOCH, CA, 94509-4509
coloradolicensing.org
ID 27447139
LAST UPDATED 2024-03-17 21:31:11 UTC

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