GARY DWIGHT RUSSELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036166869

License Status

ACTIVE

Business

Title

First Name

GARY

Middle

DWIGHT

Last Name

RUSSELL

Business Name

GARY DWIGHT RUSSELL MD

Original Issue Date

09/05/2023

Effective Date

09/05/2023

Expiration Date

07/31/2026

City

GILBERT

State

Zip

85297

Ever Disciplined

LastModifiedDate

08/21/2023