MICHAEL RUSSO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036158890

License Status

ACTIVE

Business

Title

First Name

MICHAEL

Last Name

RUSSO

Business Name

MICHAEL RUSSO DO

Original Issue Date

12/01/2021

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

04/09/2023