CHERISE NICOLE RUSSO DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125046028

License Status

EXPIRED

Business

First Name

CHERISE

Middle

NICOLE

Last Name

RUSSO

Suffix

Business Name

CHERISE NICOLE RUSSO DO

Original Issue Date

07/01/2003

Effective Date

07/01/2003

Expiration Date

06/30/2006

City

LAKE FOREST

State

Zip

60045

County

LAKE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006