MICHAEL JOHN RUSSAMANO DC Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038008721

License Status

INACTIVE

Business

First Name

MICHAEL

Middle

JOHN

Last Name

RUSSAMANO

Suffix

Business Name

MICHAEL JOHN RUSSAMANO DC

Original Issue Date

02/03/1999

Effective Date

02/03/1999

Expiration Date

07/31/2002

City

CHARLOTTESVILLE

State

Zip

22903

County

VIRGINIA

Ever Disciplined

LastModifiedDate

10/09/2006