DANA MARIE RUSSO DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125045748

License Status

CANCELLED

Business

First Name

DANA

Middle

MARIE

Last Name

RUSSO

Suffix

Business Name

DANA MARIE RUSSO DO

Original Issue Date

07/01/2006

Effective Date

07/01/2006

Expiration Date

06/30/2007

City

GLENVIEW

State

Zip

60026

County

COOK

Specialty/Qualifier

Obstetrics & Gynecology

Ever Disciplined

LastModifiedDate

10/11/2006