JOHN B RUSSO MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064161

License Status

INACTIVE

Business

First Name

JOHN B

Last Name

RUSSO

Suffix

Business Name

JOHN B RUSSO MD

Original Issue Date

04/02/1982

Effective Date

04/02/1982

Expiration Date

07/31/1987

City

PALOS VERDES

State

Zip

90274

County

CALIFORNIA

Ever Disciplined

LastModifiedDate

09/20/2006