MARINA RUSSO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102799

License Status

ACTIVE

Business

First Name

MARINA

Last Name

RUSSO

Suffix

Business Name

MARINA RUSSO MD

Original Issue Date

06/22/2000

Effective Date

04/22/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

04/22/2023