MICHAEL RUSSO DO Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049230170

License Status

NOT RENEWED

Business

Title

First Name

MICHAEL

Last Name

RUSSO

Business Name

MICHAEL RUSSO DO

Original Issue Date

12/30/2014

Effective Date

03/27/2015

Expiration Date

03/31/2016

City

WINFIELD

State

Zip

60190

County

DUPAGE

Ever Disciplined

LastModifiedDate

05/20/2016