License holder summary

DEIRDRE AILEEN RUSSELL is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for DEIRDRE AILEEN RUSSELL is allentown PA 18104. This licensed professional license is current. The license was granted 10/01/2009 and expired on 12/31/2016.

Pennsylvania

Department of State

DEIRDRE AILEEN RUSSELL
Medical Physician Assistant
License number
MA054180
Date granted
10/01/2009
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
allentown PA 18104
palicensing.org
ID 16638932
LAST UPDATED 2024-05-17 17:40:53 UTC

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