Minnesota
Department of Labor and Industry
Timothy Gage Russell
Medical - Physician Assistant
License number
10901
Date granted
05/14/2011
Date expires
06/30/2012
Class
Medical - Physician Assistant
Status
Canceled
Address
1210 W. 18th Street, Suite G-01, Sioux Falls, SD 57104
mnlicensing.org
ID 22354198
LAST UPDATED 2024-03-12 04:58:36 UTC
LAST UPDATED 2024-03-12 04:58:36 UTC
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