Wallace Bryan Sullivan
Medical - Physician
Colorado 15362 Active
This Colorado license is held by Wallace Bryan Sullivan. The license is currently active. It was granted on 07/12/1966 and expired on 04/30/2015
LICENSE DETAILS
- License Number: 15362
- Category: Physician
- Status: Active
- Date Granted: 07/12/1966 (about 60 years ago)
- Expiry Date: 04/30/2015 (about 11 years ago)
LOCATIONS
A Address
814 Baxter Road, Pueblo, CO, 81006-1006
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