Colorado
Division of Professions and Occupations
Samantha Kristine Kisicki
Medical - Physician Assistant
License number
4002
Date granted
07/14/2014
Date expires
01/31/2016
Class
Medical - Physician Assistant
Status
Active
Address
8501 E Alameda Ave Unit 1526, Denver, CO, 80230-6048
coloradolicensing.org
ID 28291209
LAST UPDATED 2026-04-09 02:38:46 UTC
LAST UPDATED 2026-04-09 02:38:46 UTC
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