License holder summary

Theodore R. Villavicencio is a Medical - Physician licensed to practice in Colorado. The address on file for Theodore R. Villavicencio is Concentra, 770 Simms St, Golden, CO, 80401-0401. This licensed professional license is current. The license was granted 10/17/1991 and expired on 04/30/2015.

Colorado

Division of Professions and Occupations

Theodore R. Villavicencio
Medical - Physician
License number
31320
Date granted
10/17/1991
Date expires
04/30/2015
Class
Medical - Physician
Status
Active
Address
Concentra, 770 Simms St, Golden, CO, 80401-0401
coloradolicensing.org
ID 27428854
LAST UPDATED 2024-02-16 06:34:07 UTC

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