DARYL MICHAEL LARUSSO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125017920

License Status

EXPIRED

Business

First Name

DARYL MICHAEL

Last Name

LARUSSO

Suffix

Business Name

DARYL MICHAEL LARUSSO MD

Original Issue Date

06/13/1985

Effective Date

06/13/1985

Expiration Date

07/01/1988

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006