FRANKLIN J DERUSSO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

NOT RENEWED

Business

First Name

FRANKLIN J

Last Name

DERUSSO

Suffix

Business Name

FRANKLIN J DERUSSO MD

Original Issue Date

01/11/1988

Effective Date

01/11/1988

Expiration Date

07/31/1990

City

DAVENPORT

State

Zip

52803

County

IOWA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006