Daniel Edward Fossum
Psychiatric at 21 St, Grand Junction, CO

License number
Colorado 204359
Issued Date
Sep 21, 1995
Renew Date
Apr 1, 2005
Expiration Date
Mar 31, 2007
Type
Psychiatric Technician (Developmentally Disabled)
Address
Address
2246 N 21St St, Grand Junction, CO 81501