Kenneth Carl Russ
ExpiredCalifornia license 19011
License
- Licensed by
- California Physician Assistant Board
- License number
- 19011
- Status
- Expired (Delinquent)
- First issued
- March 4, 1991
- Expired
- March 31, 1999
- License holder
- Kenneth Carl Russ
- Entity type
- Individual
Classifications
- pab/SA Sa Physicians & Surgeons
More from the license record
- License type code
- 9503
Other California licenses under this name
-
CA
ActivePapaaloa, HIExpires Mar 31, 2028
Contact
555 Tachevan Ste 2w-102
Palm Springs, CA 92262
Palm Springs, CA 92262
Riverside County