ANDREW PAUL RUSSEAU MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

PAUL

Last Name

RUSSEAU

Business Name

ANDREW PAUL RUSSEAU MD

Original Issue Date

11/09/2020

Effective Date

04/09/2023

Expiration Date

07/31/2026

City

LISLE

State

Zip

60532

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/09/2023