License holder summary

Russell Broholm is a Medical - Physician licensed to practice in Colorado. The address on file for Russell Broholm is 4016 VALLEY DRIVE, PUEBLO, CO, 81008-1008. This licensed professional license is not current. The license was granted 01/14/1964 and expired on 05/31/1989.

Colorado

Division of Professions and Occupations

Russell Broholm
Medical - Physician
License number
14690
Date granted
01/14/1964
Date expires
05/31/1989
Class
Medical - Physician
Status
Expired
Address
4016 VALLEY DRIVE, PUEBLO, CO, 81008-1008
coloradolicensing.org
ID 27432986
LAST UPDATED 2024-04-27 07:38:25 UTC

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