ERIC GLENN RUSSELL - Medical Doctor License in North Carolina | # 038007972

ERIC GLENN RUSSELL

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038007972

License Status

INACTIVE

Business

N

First Name

ERIC GLENN

Last Name

RUSSELL

Business Name

ERIC GLENN RUSSELL

Original Issue Date

06/25/1996

Effective Date

06/25/1996

Expiration Date

07/31/2005

State

NC

Ever Disciplined

N

LastModifiedDate

10/09/2006