Utah
Division of Occupational and Professional Licensing
TRENT JAMES RUSSELL
Physician Assistant - Physician Assistant
License number
7330712-1206
Date granted
09/07/2011
Date expires
05/31/2016
Class
Physician Assistant - Physician Assistant
Status
Active
Address
SALT LAKE CITY, UT 84106
utahlicensing.org
ID 29954095
LAST UPDATED 2024-04-08 08:15:29 UTC
LAST UPDATED 2024-04-08 08:15:29 UTC
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