LISA MARIE RUSSELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****35

License Status

ACTIVE

Business

First Name

LISA MARIE

Last Name

RUSSELL

Suffix

Business Name

LISA MARIE RUSSELL MD

Original Issue Date

05/05/1997

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60608

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/18/2023