MAURICE D RUSSO Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****70

License Status

ACTIVE

Business

First Name

MAURICE D

Last Name

RUSSO

Business Name

MAURICE D RUSSO

Original Issue Date

11/10/1987

Effective Date

06/18/2025

Expiration Date

09/30/2027

City

WESTCHESTER

State

Zip

60154

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2025