SUNNIVA M RUSSELL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036085611

License Status

INACTIVE

Business

First Name

SUNNIVA M

Last Name

RUSSELL

Suffix

Business Name

SUNNIVA M RUSSELL MD

Original Issue Date

11/12/1992

Effective Date

11/12/1992

Expiration Date

07/31/1999

City

DENVER

State

Zip

80206

County

COLORADO

Ever Disciplined

LastModifiedDate

09/20/2006