STEPHEN RICHARD RUSSELL MD - Medical Doctor License in Iowa | # 036078270

STEPHEN RICHARD RUSSELL MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078270

License Status

INACTIVE

Business

N

First Name

STEPHEN RICHARD

Last Name

RUSSELL

Suffix

MD

Business Name

STEPHEN RICHARD RUSSELL MD

Original Issue Date

12/20/1988

Effective Date

12/20/1988

Expiration Date

07/31/2005

State

IA

Ever Disciplined

N

LastModifiedDate

10/09/2006