DANA MARIE RUSSO DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

ACTIVE

Business

First Name

DANA

Middle

MARIE

Last Name

RUSSO

Suffix

Business Name

DANA MARIE RUSSO DO

Original Issue Date

07/03/2007

Effective Date

06/21/2023

Expiration Date

07/31/2026

City

GLENVIEW

State

Zip

60026

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/21/2023