JOSEPHINE M RUSSO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085009113

License Status

ACTIVE

Business

First Name

JOSEPHINE

Middle

Last Name

RUSSO

Business Name

JOSEPHINE M RUSSO

Original Issue Date

07/23/2022

Effective Date

02/24/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

02/24/2026