License holder summary

STEPHEN ANTHONY RUSSO is a Medical Physician Assistant licensed to practice in Pennsylvania. The address on file for STEPHEN ANTHONY RUSSO is Jacksonville FL 32204. This licensed professional license is current. The license was granted 11/10/2014 and expired on 12/31/2016.

Pennsylvania

Department of State

STEPHEN ANTHONY RUSSO
Medical Physician Assistant
License number
MA057357
Date granted
11/10/2014
Date expires
12/31/2016
Class
Medical Physician Assistant
Status
Active
Address
Jacksonville FL 32204
palicensing.org
ID 37695843
LAST UPDATED 2026-03-12 05:11:55 UTC

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