MELISSA L RUSSO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

VISITING PHYSICIAN PERMIT

License Number

106000586

License Status

EXPIRED

Business

Title

First Name

MELISSA

Middle

Last Name

RUSSO

Business Name

MELISSA L RUSSO MD

Original Issue Date

07/13/2023

Effective Date

07/13/2023

Expiration Date

07/16/2023

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

Cardiac Surgery

Ever Disciplined

LastModifiedDate

03/06/2024