Charles Darwin Lake
Medical - Physician
Colorado 20622 Surrendered
This Colorado license was held by Charles Darwin Lake. The license is no longer active. It was granted on 01/11/1977 and expired on 11/13/1987
LICENSE DETAILS
- License Number: 20622
- Category: Physician
- Status: Surrendered
- Date Granted: 01/11/1977 (over 47 years ago)
- Expiry Date: 11/13/1987 (over 36 years ago)
LOCATIONS
A Address
13129 N HWY 666, CORTEZ, CO, 81321-1321