RUSSELL RAY SHIPMAN DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036169951

License Status

ACTIVE

Business

Title

First Name

RUSSELL

Middle

RAY

Last Name

SHIPMAN

Business Name

RUSSELL RAY SHIPMAN DO

Original Issue Date

04/21/2024

Effective Date

04/21/2024

Expiration Date

07/31/2026

City

PALM CITY

State

Zip

34990

Ever Disciplined

LastModifiedDate

04/22/2024