ANDREW PAUL RUSSEAU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148446

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

PAUL

Last Name

RUSSEAU

Business Name

ANDREW PAUL RUSSEAU MD

Original Issue Date

03/05/2019

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

LISLE

State

Zip

60532

County

DUPAGE

Ever Disciplined

LastModifiedDate

04/09/2023