JEANNE RUSSO - Physician Assistant License in Illinois | # 085007610

JEANNE RUSSO

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085007610

License Status

NOT RENEWED

Business

N

First Name

JEANNE

Last Name

RUSSO

Business Name

JEANNE RUSSO

Original Issue Date

03/20/2020

Effective Date

01/08/2022

Expiration Date

03/01/2024

State

IL

Ever Disciplined

N

LastModifiedDate

02/05/2025