JEREMY DANIEL SLATER Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036173438

License Status

ACTIVE

Business

First Name

JEREMY

Middle

DANIEL

Last Name

SLATER

Business Name

JEREMY DANIEL SLATER

Original Issue Date

01/19/2025

Effective Date

01/19/2025

Expiration Date

07/31/2026

City

FORT COLLINS

State

Zip

80528

Ever Disciplined

LastModifiedDate

01/19/2025