SUNNIVA M RUSSELL MD - Medical Doctor License in Colorado | # 036085611

SUNNIVA M RUSSELL MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085611

License Status

INACTIVE

Business

N

First Name

SUNNIVA M

Last Name

RUSSELL

Suffix

MD

Business Name

SUNNIVA M RUSSELL MD

Original Issue Date

11/12/1992

Effective Date

11/12/1992

Expiration Date

07/31/1999

State

CO

Ever Disciplined

N

LastModifiedDate

09/20/2006