BERTRAM ROYCE RUSSELL, JR

Medical Physician And Surgeon

Pennsylvania  MD020168E   Revoked

This Pennsylvania license was held by BERTRAM ROYCE RUSSELL, JR. The license is no longer active. It was granted on 09/30/1977 and expired on 12/31/2010

LICENSE DETAILS

  • License Number: MD020168E
  • Category: Medical Physician and Surgeon
  • Status: Revoked
  • Date Granted: 09/30/1977 (over 47 years ago)
  • Expiry Date: 12/31/2010 (over 14 years ago)

LOCATIONS

A Address

GLADWYNE PA 19035-1609