Jill Martine Russom
ActiveCalifornia license A71632
License
- Licensed by
- Medical Board of California
- License number
- A71632
- Status
- Active (Current)
- First issued
- May 11, 2000
- Expires
- May 31, 2028
- License holder
- Jill Martine Russom
- Entity type
- Individual
Classifications
- Physician and Surgeon A Physicians & Surgeons
More from the license record
- License type code
- 8002
Contact
2042 Kern St
Fresno, CA 93721-2008
Fresno, CA 93721-2008
Fresno County