JOSEPHINE M RUSSO Physician Assistant License verification

Business Entity

ACTIVE

License Type

Physician Assistant

Description

PHYSICIAN ASSISTANT CONTROLLED SUBSTANCE

License Number

38*****31

License Status

ACTIVE

Business

First Name

JOSEPHINE

Middle

Last Name

RUSSO

Business Name

JOSEPHINE M RUSSO

Original Issue Date

09/22/2022

Effective Date

02/24/2026

Expiration Date

03/01/2028

City

CHICAGO

State

Zip

60613

County

COOK

Delegated Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026