FRANCES MARY RUSSELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****09

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

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/17/2014