FRANK I RUSSO JR MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****47

License Status

ACTIVE

Business

First Name

FRANK I

Last Name

RUSSO JR

Suffix

Business Name

FRANK I RUSSO JR MD

Original Issue Date

01/01/1997

Effective Date

04/26/2023

Expiration Date

07/31/2026

City

PEORIA

State

Zip

61603

County

PEORIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/26/2023