MICHAEL STEVEN RUSSELL OD Optometrist License verification

Business Entity

NOT RENEWED

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****39

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Middle

STEVEN

Last Name

RUSSELL

Business Name

MICHAEL STEVEN RUSSELL OD

Original Issue Date

12/03/2015

Effective Date

06/01/2022

Expiration Date

03/31/2024

City

NAPERVILLE

State

Zip

60540

County

WILL

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

02/05/2025