Timothy Ray Gengembre
Medical - Physician Assistant
Colorado 2979 Inactive
This Colorado license was held by Timothy Ray Gengembre. The license is no longer active. It was granted on 01/28/2010 and expired on 01/31/2016
LICENSE DETAILS
- License Number: 2979
- Category: Physician Assistant
- Status: Inactive
- Date Granted: 01/28/2010 (about 14 years ago)
- Expiry Date: 01/31/2016 (about 8 years ago)
LOCATIONS
A Address
1650 Pilgrim Pkwy, Elm Grove, WI, 53122-3122