PATRICK RUSSO Podiatrist License verification

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002360

License Status

INACTIVE

Business

First Name

PATRICK

Last Name

RUSSO

Business Name

PATRICK RUSSO

Original Issue Date

07/20/1959

Effective Date

07/20/1959

Expiration Date

01/31/1993

City

CHICAGO

State

Zip

60613

County

COOK

Ever Disciplined

LastModifiedDate

09/25/2006