New Jersey
Division of Consumer Affairs
Maira A. Russo
Physician Assistant
License number
25MP00258900
Date granted
07/11/2011
Date expires
08/31/2015
Class
Physician Assistant
Status
Active
licensingnj.com
ID 9703581
LAST UPDATED 2024-04-19 15:57:40 UTC
LAST UPDATED 2024-04-19 15:57:40 UTC
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