DAVID GUSTAD DEVITRE DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120018

License Status

NOT RENEWED

Business

First Name

DAVID

Middle

GUSTAD

Last Name

DEVITRE

Suffix

Business Name

DAVID GUSTAD DEVITRE DO

Original Issue Date

01/25/2008

Effective Date

04/17/2014

Expiration Date

07/31/2017

City

DURANGO

State

Zip

81301

County

COLORADO

Ever Disciplined

LastModifiedDate

11/01/2017