License holder summary

Tanya Lyn Tivorsak is a Medical - Physician licensed to practice in Colorado. The address on file for Tanya Lyn Tivorsak is 2425 Canyon Blvd, Suite 150, Boulder, CO, 80302-0302. This licensed professional license is current. The license was granted 03/12/2012 and expired on 04/30/2015.

Colorado

Division of Professions and Occupations

Tanya Lyn Tivorsak
Medical - Physician
License number
50978
Date granted
03/12/2012
Date expires
04/30/2015
Class
Medical - Physician
Status
Active
Address
2425 Canyon Blvd, Suite 150, Boulder, CO, 80302-0302
coloradolicensing.org
ID 27428262
LAST UPDATED 2026-06-14 13:53:15 UTC

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