Colorado
Division of Professions and Occupations
Timothy Ray Gengembre
Medical - Physician Assistant
License number
2979
Date granted
01/28/2010
Date expires
01/31/2016
Class
Medical - Physician Assistant
Status
Inactive
Address
1650 Pilgrim Pkwy, Elm Grove, WI, 53122-3122
coloradolicensing.org
ID 28294449
LAST UPDATED 2024-01-31 03:31:41 UTC
LAST UPDATED 2024-01-31 03:31:41 UTC
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