License holder summary

Gary D. Russell PA is a Physician Assistant licensed to practice in Arizona. The address on file for Gary D. Russell PA is 2525 E Roosevelt St, Phoenix AZ 85008-4948. This licensed professional license is not current. The license was granted 09/14/1981.

Arizona

Board of Licensing

Gary D. Russell PA
Physician Assistant
License number
1136
Date granted
09/14/1981
Class
Physician Assistant
Status
Expired
Address
2525 E Roosevelt St, Phoenix AZ 85008-4948
arizonalicensing.com
ID 22738751
LAST UPDATED 2024-03-11 04:29:41 UTC

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