Arizona
Board of Licensing
Jonathan Forrest Russell PA
Physician Assistant
License number
3822
Date granted
03/12/2008
Class
Physician Assistant
Status
Expired
Address
Sun Life Family Health Clinic, 865 N. Arizola Road, Casa Grande AZ 85130
arizonalicensing.com
ID 22749546
LAST UPDATED 2024-02-13 04:28:01 UTC
LAST UPDATED 2024-02-13 04:28:01 UTC