License holder summary

Jesse Allan Boutwell PA is a Physician Assistant licensed to practice in Arizona. The address on file for Jesse Allan Boutwell PA is North Country Healthcare, 2920 N. 4th Street, Flagstaff AZ 86004. This licensed professional license is current. The license was granted 09/28/2010.

Arizona

Board of Licensing

Jesse Allan Boutwell PA
Physician Assistant
License number
4712
Date granted
09/28/2010
Class
Physician Assistant
Status
Active
Address
North Country Healthcare, 2920 N. 4th Street, Flagstaff AZ 86004
arizonalicensing.com
ID 22748454
LAST UPDATED 2024-01-26 09:11:12 UTC

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