JOHN MARSHALL RUSSO MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****58

License Status

NOT RENEWED

Business

First Name

JOHN

Middle

MARSHALL

Last Name

RUSSO

Suffix

Business Name

JOHN MARSHALL RUSSO MD

Original Issue Date

08/20/2001

Effective Date

08/20/2001

Expiration Date

07/31/2005

City

CHICAGO

State

Zip

60637

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011