CHRISLYN S RUSSAMANO - Physician Assistant License in Virginia | # 085000775

CHRISLYN S RUSSAMANO

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000775

License Status

INACTIVE

Business

N

First Name

CHRISLYN S

Last Name

RUSSAMANO

Business Name

CHRISLYN S RUSSAMANO

Original Issue Date

02/09/1996

Effective Date

02/09/1996

Expiration Date

03/01/2000

State

VA

Ever Disciplined

N

LastModifiedDate

09/26/2006