ANDREA MARIE RUSSO
Medicine - Written Agreement
Pennsylvania MX037999E Inactive
This Pennsylvania license was held by ANDREA MARIE RUSSO. The license is no longer active. It was granted on 04/20/2001
LICENSE DETAILS
- License Number: MX037999E
- Category: Written Agreement
- Status: Inactive
- Date Granted: 04/20/2001 (about 23 years ago)
LOCATIONS
A Address
39TH AND MARKET STREETS Philadelphia PA 19104