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
LAST UPDATED 2024-03-11 04:29:41 UTC