RUSSELL AARON VAN MAELE DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****93

License Status

ACTIVE

Business

Title

First Name

RUSSELL

Middle

AARON

Last Name

VAN MAELE

Business Name

RUSSELL AARON VAN MAELE DO

Original Issue Date

08/01/2024

Effective Date

08/01/2024

Expiration Date

07/31/2026

City

SANTA MONICA

State

Zip

90404

Specialty/Qualifier

PRACTITIONER

Ever Disciplined

LastModifiedDate

02/24/2026