Alaska
Division of Corporations, Business and Professional Licensing
WAYNE EDWARD BOULTON
Physician Assistants - Licensed Physician Assistant
License number
730
Date granted
10/17/2006
Date expires
12/31/2012
Class
Physician Assistants - Licensed Physician Assistant
Status
Licensed
Address
PO BOX 230852 ANCHORAGE AK 99523-0852
alaskalicensing.com
ID 20412915
LAST UPDATED 2024-03-01 05:21:47 UTC
LAST UPDATED 2024-03-01 05:21:47 UTC
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