License holder summary

Vivekananda Wall is a Medical - Physician licensed to practice in Colorado. The address on file for Vivekananda Wall is 18 Sapphire St, Odessa, TX, 79762-9762. This licensed professional license is not current. The license was granted 09/23/2004 and expired on 05/31/2009.

Colorado

Division of Professions and Occupations

Vivekananda Wall
Medical - Physician
License number
43015
Date granted
09/23/2004
Date expires
05/31/2009
Class
Medical - Physician
Status
Expired
Address
18 Sapphire St, Odessa, TX, 79762-9762
coloradolicensing.org
ID 27452961
LAST UPDATED 2024-04-09 17:41:25 UTC

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