CHLOE LAN RUSSO MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125064034

License Status

EXPIRED

Business

First Name

CHLOE

Middle

LAN

Last Name

RUSSO

Suffix

Business Name

CHLOE LAN RUSSO MD

Original Issue Date

07/01/2013

Effective Date

07/01/2013

Expiration Date

06/30/2016

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Pediatrics

Ever Disciplined

LastModifiedDate

08/16/2016