License Directory

Kenneth Carl Russ

Expired

California 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

More from the license record

License type code
9503

Other California licenses under this name

  • CA
    Kenneth Carl Russ
    License A48224
    Physician and Surgeon A
    Active
    Papaaloa, HI
    Expires Mar 31, 2028

Contact

555 Tachevan Ste 2w-102
Palm Springs, CA 92262
Riverside County