Arizona
Board of Licensing
Derral Edward Hawthorne PA
Physician Assistant
License number
5484
Date granted
08/27/2013
Class
Physician Assistant
Status
Active
Address
Cottonwood Medical Center, Ltd., 560 N. Camino Mercado, Suite 7, Casa Grande AZ 85122
arizonalicensing.com
ID 22729755
LAST UPDATED 2024-04-02 19:13:51 UTC
LAST UPDATED 2024-04-02 19:13:51 UTC