FRANCES MARY RUSSELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036129530

License Status

NOT RENEWED

Business

Title

First Name

FRANCES

Middle

MARY

Last Name

RUSSELL

Business Name

FRANCES MARY RUSSELL MD

Original Issue Date

01/31/2012

Effective Date

01/31/2012

Expiration Date

07/31/2014

City

FARMINGTON

State

Zip

06032

County

CONNECTICUT

Ever Disciplined

LastModifiedDate

11/17/2014