License holder summary

Russell Elray Blomdahl PA is a Physician Assistant licensed to practice in Arizona. The address on file for Russell Elray Blomdahl PA is PO Box 12761, Grand Forks ND 58208-2761. This licensed professional license is not current. The license was granted 05/01/1978.

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

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