JOHN MARSHALL RUSSO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104744

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

MARSHALL

Last Name

RUSSO

Suffix

Business Name

JOHN MARSHALL RUSSO MD

Original Issue Date

05/17/2001

Effective Date

07/07/2011

Expiration Date

07/31/2014

City

DUBLIN

State

Zip

43016

County

OHIO

Ever Disciplined

LastModifiedDate

11/17/2014