License holder summary

RUSSEL L HEDDERLY is a Medical Board - 50.Physician Assistant licensed to practice in Ohio. The address on file for RUSSEL L HEDDERLY is CENTERVILLE, OH 45459. This licensed professional license is not current. The license was granted 10/08/1980 and expired on 01/31/2002.

Ohio

Board of Licensing

RUSSEL L HEDDERLY
Medical Board - 50.Physician Assistant
License number
50.000121
Date granted
10/08/1980
Date expires
01/31/2002
Class
Medical Board - 50.Physician Assistant
Status
Inactive
Address
CENTERVILLE, OH 45459
ohiolicensing.org
ID 28498949
LAST UPDATED 2024-06-10 06:04:42 UTC

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