PATRICIA L RUSSELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****90

License Status

ACTIVE

Business

Title

First Name

PATRICIA L

Last Name

RUSSELL

Business Name

PATRICIA L RUSSELL MD

Original Issue Date

01/22/1991

Effective Date

07/05/2023

Expiration Date

07/31/2026

City

OAK BROOK

State

Zip

60523

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/05/2023