CORRINE MICHELLE RUSSO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085008962

License Status

ACTIVE

Business

First Name

CORRINE

Middle

MICHELLE

Last Name

RUSSO

Business Name

CORRINE MICHELLE RUSSO

Original Issue Date

05/10/2022

Effective Date

02/26/2026

Expiration Date

03/01/2028

City

GREENBELT

State

Zip

20770

Ever Disciplined

LastModifiedDate

02/26/2026