RUSSEL B COUTINHO - Medical Doctor License in Illinois | # 125022588

RUSSEL B COUTINHO

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125022588

License Status

EXPIRED

Business

N

First Name

RUSSEL

Middle

B

Last Name

COUTINHO

Business Name

RUSSEL B COUTINHO

Original Issue Date

06/03/1988

Effective Date

06/03/1988

Expiration Date

06/27/1991

State

IL

Specialty/Qualifier

Pediatrics

Ever Disciplined

N

LastModifiedDate

09/22/2006