License holder summary

COLLEEN GUSTAFSON is a Medicine - Physician Assistant licensed to practice in District of Columbia. The address on file for COLLEEN GUSTAFSON is 3275 E. VERNON AVENUE, PO BOX 58918, VERNON CA 90058. This licensed professional license is not current. The license was granted 09/10/2004 and expired on 12/31/2006.

District of Columbia

Department of Consumer and Regulatory Affairs

COLLEEN GUSTAFSON
Medicine - Physician Assistant
License number
PA030342
Date granted
09/10/2004
Date expires
12/31/2006
Class
Medicine - Physician Assistant
Status
Expired
Address
3275 E. VERNON AVENUE, PO BOX 58918, VERNON CA 90058
dclicensing.com
ID 22437760
LAST UPDATED 2021-02-01 01:05:25 UTC

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