ROBERT J RUSSO - Physician Assistant License in Illinois | # 085001240

ROBERT J RUSSO

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085001240

License Status

NOT RENEWED

Business

N

First Name

ROBERT J

Last Name

RUSSO

Business Name

ROBERT J RUSSO

Original Issue Date

09/14/1999

Effective Date

09/14/1999

Expiration Date

03/01/2000

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006