DOUGLAS JAMES RUSSO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****16

License Status

ACTIVE

Business

Title

First Name

DOUGLAS

Middle

JAMES

Last Name

RUSSO

Business Name

DOUGLAS JAMES RUSSO MD

Original Issue Date

02/14/2024

Effective Date

02/14/2024

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60615

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/14/2024