Iowa
Professional Licensing Bureau
MARY JO RUSSELL
Physician Assistants - Physician Assistant
License number
001347
Date granted
04/04/2001
Date expires
09/30/2016
Class
Physician Assistants - Physician Assistant
Status
Active
Address
2300 53RD AVE STE 100 BETTENDORF IA 52722
iowalicenses.org
ID 24189695
LAST UPDATED 2024-04-17 14:19:28 UTC
LAST UPDATED 2024-04-17 14:19:28 UTC
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