Stephen P Russo Dmd
ActiveIllinois license 137000623
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 137000623
- Status
- Active
- First issued
- August 3, 2004
- Expires
- September 30, 2027
- License holder
- Stephen P Russo
- Entity type
- Individual
Classifications
- Dental Sedation Permit Dental
More from the license record
- Specialty
- Conscious Sedation, Parenteral
- Current term began
- 08/12/2024
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Contact
Chicago, IL 60602
Cook County