RONALD C RUSSO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036069806

License Status

ACTIVE

Business

First Name

RONALD

Middle

Last Name

RUSSO

Suffix

Business Name

RONALD C RUSSO MD

Original Issue Date

11/07/1984

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

CHAMPAIGN

State

Zip

61821

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

07/18/2023