JOHN B RUSSO MD - Medical Doctor License in California | # 036064161

JOHN B RUSSO MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064161

License Status

INACTIVE

Business

N

First Name

JOHN B

Last Name

RUSSO

Suffix

MD

Business Name

JOHN B RUSSO MD

Original Issue Date

04/02/1982

Effective Date

04/02/1982

Expiration Date

07/31/1987

State

CA

Ever Disciplined

N

LastModifiedDate

09/20/2006