License holder summary

David Peter Eric Russo is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for David Peter Eric Russo is 1125 NW 9th Ave, Suite 320, Portland, OR 97209. This doctor license is not current. The license was granted 09/06/2003 and expired on 12/31/2006.

Department of Safety and Professional Services

Board of Medical Practice

David Peter Eric Russo
Medical - Physician And Surgeon
License number
46091
Date granted
09/06/2003
Date expires
12/31/2006
Class
Medical - Physician And Surgeon
Status
Canceled
Address
1125 NW 9th Ave, Suite 320, Portland, OR 97209
doctorsminnesota.org
ID 22292124
LAST UPDATED 2024-02-28 09:32:53 UTC

This website is unaffiliated with the Board of Medical Practice. Please verify all information directly with the relevant official government authority.

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