Wisconsin
Department of Safety and Professional Services
Russell, Lawrence B
Physician Assistant
License number
323-23
Date granted
03/12/1982
Date expires
10/31/1999
Class
Physician Assistant
Status
Expired
wisconsinlicensing.org
ID 35630401
LAST UPDATED 2026-04-12 12:01:06 UTC
LAST UPDATED 2026-04-12 12:01:06 UTC
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