RUSSELL D DONNELLY MD - Medical Doctor License in New York | # 036064434

RUSSELL D DONNELLY MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064434

License Status

NOT RENEWED

Business

N

First Name

RUSSELL D

Last Name

DONNELLY

Suffix

MD

Business Name

RUSSELL D DONNELLY MD

Original Issue Date

06/08/1982

Effective Date

06/08/1982

Expiration Date

07/31/1984

State

NY

Ever Disciplined

N

LastModifiedDate

03/30/2009