Iowa
Professional Licensing Bureau
Charles Russell Graham
Physician Assistants - Physician Assistant
License number
001613
Date granted
10/25/2004
Date expires
09/30/2015
Class
Physician Assistants - Physician Assistant
Status
Active
Address
5900 APPLEWOOD DR WEST DES MOINES IA 50266
iowalicenses.org
ID 24187974
LAST UPDATED 2024-04-07 00:28:59 UTC
LAST UPDATED 2024-04-07 00:28:59 UTC
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