License holder summary

Roger Alan Van Atta is a Medical - Physician licensed to practice in Colorado. The address on file for Roger Alan Van Atta is 1003 WILLOW CREEK RD, PRESCOTT, AZ, 86303-6303. This licensed professional license is not current. The license was granted 04/10/1980 and expired on 05/31/2007.

Colorado

Division of Professions and Occupations

Roger Alan Van Atta
Medical - Physician
License number
23101
Date granted
04/10/1980
Date expires
05/31/2007
Class
Medical - Physician
Status
Expired
Address
1003 WILLOW CREEK RD, PRESCOTT, AZ, 86303-6303
coloradolicensing.org
ID 27452508
LAST UPDATED 2024-04-04 23:07:16 UTC

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