RUSSELL MICHAEL FIORELLA MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036138304

License Status

ACTIVE

Business

Title

First Name

RUSSELL

Middle

MICHAEL

Last Name

FIORELLA

Business Name

RUSSELL MICHAEL FIORELLA MD

Original Issue Date

06/15/2015

Effective Date

07/06/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60654

County

COOK

Ever Disciplined

LastModifiedDate

07/06/2023