Colorado
Division of Professions and Occupations
Susan E Prater
Medical - Physician Training License
License number
2098
Date granted
06/23/2006
Date expires
08/31/2012
Class
Medical - Physician Training License
Status
Expired
Address
Southern Colorado Family Medicine, 902 Lakeview Ave, Pueblo, CO, 81004-1004
coloradolicensing.org
ID 28299595
LAST UPDATED 2026-03-17 16:38:09 UTC
LAST UPDATED 2026-03-17 16:38:09 UTC
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