License holder summary

Timothy Ray Gengembre is a Medical - Physician Assistant licensed to practice in Colorado. The address on file for Timothy Ray Gengembre is 1650 Pilgrim Pkwy, Elm Grove, WI, 53122-3122. This licensed professional license is not current. The license was granted 01/28/2010 and expired on 01/31/2016.

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

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