JOSEPH EDWARD RUSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****41

License Status

NOT RENEWED

Business

First Name

JOSEPH EDWARD

Last Name

RUSS

Suffix

Business Name

JOSEPH EDWARD RUSS MD

Original Issue Date

01/01/1997

Effective Date

05/30/2008

Expiration Date

07/31/2011

City

ST CHARLES

State

Zip

60175

County

KANE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017