SUSAN ALEXIS VACHON Physician Assistant License verification

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085004729

License Status

NOT RENEWED

Business

First Name

SUSAN

Middle

ALEXIS

Last Name

VACHON

Business Name

SUSAN ALEXIS VACHON

Original Issue Date

07/22/2013

Effective Date

02/18/2022

Expiration Date

03/01/2024

City

BOULDER

State

Zip

80303

Ever Disciplined

LastModifiedDate

02/05/2025