ROBERT C RUSSELL MD SC Medical Corporation License verification

Business Entity

NOT RENEWED

License Type

Medical Corporation

Description

REGISTERED MEDICAL CORPORATION

License Number

042617998

License Status

NOT RENEWED

Business

Business Name

ROBERT C RUSSELL MD SC

Original Issue Date

07/25/2003

Effective Date

12/21/2018

Expiration Date

01/01/2022

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/15/2023