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
LAST UPDATED 2024-01-26 09:11:12 UTC