PETER A RUSSO OD Optometrist License verification

Business Entity

ACTIVE

License Type

Optometrist

Description

OPTOMETRIST CONTROLLED SUBSTANCE

License Number

34*****79

License Status

ACTIVE

Business

First Name

PETER

Middle

Last Name

RUSSO

Suffix

Business Name

PETER A RUSSO OD

Original Issue Date

08/26/1996

Effective Date

03/25/2026

Expiration Date

03/31/2028

City

HINES

State

Zip

60141

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

III IV V

Ever Disciplined

LastModifiedDate

03/25/2026