CRAIG P RUSSO MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****82

License Status

ACTIVE

Business

First Name

CRAIG P

Last Name

RUSSO

Suffix

Business Name

CRAIG P RUSSO MD

Original Issue Date

06/29/1997

Effective Date

06/16/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62703

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/16/2023