PATRICK RUSSO - Podiatrist License in Illinois | # 016002360

PATRICK RUSSO

Business Entity

INACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRIC PHYSICIAN

License Number

016002360

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

09/25/2006