EVAN LAFE VINCENT MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036144143

License Status

NOT RENEWED

Business

Title

First Name

EVAN

Middle

LAFE

Last Name

VINCENT

Business Name

EVAN LAFE VINCENT MD

Original Issue Date

08/21/2017

Effective Date

08/21/2017

Expiration Date

09/30/2020

City

FORT COLLINS

State

Zip

80525

Ever Disciplined

LastModifiedDate

01/14/2021