License holder summary

ANDREA MARIE RUSSO is a Medicine - Written Agreement licensed to practice in Pennsylvania. The address on file for ANDREA MARIE RUSSO is 39TH & MARKET STREETS Philadelphia PA 19104. This licensed professional license is not current. The license was granted 02/28/2002.

Pennsylvania

Department of State

ANDREA MARIE RUSSO
Medicine - Written Agreement
License number
MX000493
Date granted
02/28/2002
Class
Medicine - Written Agreement
Status
Inactive
Address
39TH & MARKET STREETS Philadelphia PA 19104
palicensing.org
ID 16664997
LAST UPDATED 2024-04-19 14:18:31 UTC

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