CHRISLYN S RUSSAMANO Physician Assistant License verification

Business Entity

INACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000775

License Status

INACTIVE

Business

First Name

CHRISLYN S

Last Name

RUSSAMANO

Business Name

CHRISLYN S RUSSAMANO

Original Issue Date

02/09/1996

Effective Date

02/09/1996

Expiration Date

03/01/2000

City

CHARLOTTESVILLE

State

Zip

22903

County

VIRGINIA

Ever Disciplined

LastModifiedDate

09/26/2006