RUSSELL LOUIS MAIESE - Medical Doctor License in New Jersey | # 036151675

RUSSELL LOUIS MAIESE

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036151675

License Status

NOT RENEWED

Business

N

First Name

RUSSELL

Middle

LOUIS

Last Name

MAIESE

Business Name

RUSSELL LOUIS MAIESE

Original Issue Date

01/29/2020

Effective Date

07/13/2020

Expiration Date

07/31/2023

State

NJ

Ever Disciplined

N

LastModifiedDate

11/30/2023