License holder summary

Wallace Bradley Brucker is a Medical - Physician licensed to practice in Colorado. The address on file for Wallace Bradley Brucker is 619 CARSON AV, LA JUNTA, CO, 81050-1050. This licensed professional license is not current. The license was granted 09/13/1991 and expired on 05/31/2007.

Colorado

Division of Professions and Occupations

Wallace Bradley Brucker
Medical - Physician
License number
31179
Date granted
09/13/1991
Date expires
05/31/2007
Class
Medical - Physician
Status
Expired
Address
619 CARSON AV, LA JUNTA, CO, 81050-1050
coloradolicensing.org
ID 27433114
LAST UPDATED 2026-06-18 23:23:11 UTC

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