Colorado
Division of Professions and Occupations
Star Viviette Fowler
Medical - Physician
License number
51309
Date granted
05/23/2012
Date expires
04/30/2015
Class
Medical - Physician
Status
Active
Address
2030 Mountain View Ave Ste 310, Longmont, CO, 80501-3181
coloradolicensing.org
ID 27414182
LAST UPDATED 2024-03-25 20:47:36 UTC
LAST UPDATED 2024-03-25 20:47:36 UTC
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