License holder summary

Stacie Michelle Otten is a Medical - Physician licensed to practice in Colorado. The address on file for Stacie Michelle Otten is 1802 Westridge Dr., Austin, TX, 78704-8704. This licensed professional license is not current. The license was granted 01/08/1998 and expired on 05/31/2011.

Colorado

Division of Professions and Occupations

Stacie Michelle Otten
Medical - Physician
License number
36721
Date granted
01/08/1998
Date expires
05/31/2011
Class
Medical - Physician
Status
Expired
Address
1802 Westridge Dr., Austin, TX, 78704-8704
coloradolicensing.org
ID 27446179
LAST UPDATED 2024-04-25 15:56:50 UTC

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