PIERANTONIO RUSSO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000117

License Status

EXPIRED

Business

First Name

PIERANTONIO

Last Name

RUSSO

Suffix

Business Name

PIERANTONIO RUSSO MD

Original Issue Date

12/15/2000

Effective Date

12/15/2000

Expiration Date

06/30/2001

City

DOWNINGTOWN

State

Zip

19335

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

09/23/2006