RUSSELL JAY HOMEWOOD DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036172824

License Status

ACTIVE

Business

Title

First Name

RUSSELL

Middle

JAY

Last Name

HOMEWOOD

Business Name

RUSSELL JAY HOMEWOOD DO

Original Issue Date

11/21/2024

Effective Date

11/21/2024

Expiration Date

07/31/2026

City

GILBERT

State

Zip

85297

Ever Disciplined

LastModifiedDate

11/21/2024