PIERANTONIO RUSSO MD - Medical Doctor License in Pennsylvania | # 106000117

PIERANTONIO RUSSO MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000117

License Status

EXPIRED

Business

N

First Name

PIERANTONIO

Last Name

RUSSO

Suffix

MD

Business Name

PIERANTONIO RUSSO MD

Original Issue Date

12/15/2000

Effective Date

12/15/2000

Expiration Date

06/30/2001

State

PA

Ever Disciplined

N

LastModifiedDate

09/23/2006