Arizona
Board of Licensing
Corwin Ryan Ellsworth PA
Physician Assistant
License number
2609
Date granted
02/15/2002
Class
Physician Assistant
Status
Active
Address
Blue Ridge Regional Clinic, 728 E White Mountain Blvd, Pinetop AZ 85935
arizonalicensing.com
ID 22727637
LAST UPDATED 2024-02-13 10:10:54 UTC
LAST UPDATED 2024-02-13 10:10:54 UTC