License holder summary

Stephanie A Petersburg is a Medical - Physician Assistant licensed to practice in Colorado. The address on file for Stephanie A Petersburg is 29158 Kinnikinnick Lane, Evergreen, CO, 80439-0439. This licensed professional license is current. The license was granted 09/24/2004 and expired on 01/31/2016.

Colorado

Division of Professions and Occupations

Stephanie A Petersburg
Medical - Physician Assistant
License number
1994
Date granted
09/24/2004
Date expires
01/31/2016
Class
Medical - Physician Assistant
Status
Active
Address
29158 Kinnikinnick Lane, Evergreen, CO, 80439-0439
coloradolicensing.org
ID 28291917
LAST UPDATED 2024-03-04 10:29:54 UTC

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