RUSSELL JAY HOMEWOOD DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****18

License Status

ACTIVE

Business

Title

First Name

RUSSELL

Middle

JAY

Last Name

HOMEWOOD

Business Name

RUSSELL JAY HOMEWOOD DO

Original Issue Date

09/17/2025

Effective Date

09/17/2025

Expiration Date

07/31/2026

City

GILBERT

State

Zip

85297

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/17/2025