DANIELA COTRIM RUSSI MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125063071

License Status

EXPIRED

Business

Title

First Name

DANIELA

Middle

COTRIM

Last Name

RUSSI

Business Name

DANIELA COTRIM RUSSI MD

Original Issue Date

06/25/2016

Effective Date

06/25/2016

Expiration Date

07/16/2016

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

08/16/2016