LUCILLE J RUSSELL MD - Medical Doctor License in Pennsylvania | # 036067024

LUCILLE J RUSSELL MD

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067024

License Status

NOT RENEWED

Business

N

First Name

LUCILLE J

Last Name

RUSSELL

Suffix

MD

Business Name

LUCILLE J RUSSELL MD

Original Issue Date

07/21/1983

Effective Date

04/24/2014

Expiration Date

07/31/2017

State

PA

Ever Disciplined

Y

LastModifiedDate

11/01/2017