LaShica Miracle Ann Young
Moderate Sedation at Ohio St, Bangor, ME

License number
Colorado 40
Issued Date
Sep 3, 2014
Renew Date
Sep 3, 2014
Expiration Date
Mar 1, 2015
Type
Temporary Moderate Sedation Privileges
Address
Address
1182 Ohio St APT 4, Bangor, ME 04401
LicenseFiles verified this license of Dec 9, 2016 at the Colorado - Department of Regulatory Agencies.

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