LISA MARIE RUSSELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036095012

License Status

ACTIVE

Business

First Name

LISA MARIE

Last Name

RUSSELL

Suffix

Business Name

LISA MARIE RUSSELL MD

Original Issue Date

03/11/1997

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60608

County

COOK

Ever Disciplined

LastModifiedDate

04/18/2023