TIMOTHY M RUSSO CPO - Orthotist, Prosthetist, and Pedorthist License in Illinois | # 211000298

TIMOTHY M RUSSO CPO

Business Entity

ACTIVE

License Type

Orthotist, Prosthetist, and Pedorthist

Description

LICENSED PROSTHETIST

License Number

211000298

License Status

ACTIVE

Business

N

Title

CPO

First Name

TIMOTHY

Middle

M

Last Name

RUSSO

Business Name

TIMOTHY M RUSSO CPO

Original Issue Date

08/12/2015

Effective Date

08/19/2025

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

08/19/2025