License holder summary

STEPHANIE ANN RUSSO is a Graduate Medical Trainee licensed to practice in Pennsylvania. The address on file for STEPHANIE ANN RUSSO is Philadelphia PA 19131. This medical practitioner license is current. The license was granted 05/13/2014 and expired on 06/30/2017.

Department of State

Board of Medicine

STEPHANIE ANN RUSSO
Graduate Medical Trainee
License number
MT206844
Date granted
05/13/2014
Date expires
06/30/2017
Class
Graduate Medical Trainee
Status
Active
Address
Philadelphia PA 19131
medicinepa.com
ID 37563981
LAST UPDATED 2024-03-25 14:53:50 UTC

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