PIERANTONIO RUSSO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104687

License Status

NOT RENEWED

Business

First Name

PIERANTONIO

Last Name

RUSSO

Suffix

Business Name

PIERANTONIO RUSSO MD

Original Issue Date

05/14/2001

Effective Date

06/30/2008

Expiration Date

07/31/2011

City

DOWNINGTOWN

State

Zip

19335

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

11/14/2011