Larry Dean Cox Dikeman
Psychiatric at 11 St, Pueblo, CO

License number
Colorado 204205
Issued Date
Jan 14, 1994
Renew Date
Apr 1, 2015
Expiration Date
Mar 31, 2017
Type
Psychiatric Technician (Developmentally Disabled)
Address
Address
1220 E 11Th St, Pueblo, CO 81001