Arizona
Board of Licensing
Russell Elray Blomdahl PA
Physician Assistant
License number
1007
Date granted
05/01/1978
Class
Physician Assistant
Status
Expired
Address
PO Box 12761, Grand Forks ND 58208-2761
arizonalicensing.com
ID 22774614
LAST UPDATED 2024-05-17 13:33:56 UTC
LAST UPDATED 2024-05-17 13:33:56 UTC