RUSSELL ST YALE Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036049357

License Status

NOT RENEWED

Business

First Name

RUSSELL ST

Last Name

YALE

Business Name

RUSSELL ST YALE

Original Issue Date

06/17/1974

Effective Date

06/17/1974

City

CORALVILLE

State

Zip

52240

County

IOWA

Ever Disciplined

LastModifiedDate

09/20/2006