RUSSELL RAY SHIPMAN 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

RAY

Last Name

SHIPMAN

Business Name

RUSSELL RAY SHIPMAN DO

Original Issue Date

06/12/2024

Effective Date

06/12/2024

Expiration Date

07/31/2026

City

PALM CITY

State

Zip

34990

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/24/2026