STEPHEN RICHARD RUSSELL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036078270

License Status

INACTIVE

Business

First Name

STEPHEN RICHARD

Last Name

RUSSELL

Suffix

Business Name

STEPHEN RICHARD RUSSELL MD

Original Issue Date

12/20/1988

Effective Date

12/20/1988

Expiration Date

07/31/2005

City

IOWA CITY

State

Zip

52242

County

IOWA

Ever Disciplined

LastModifiedDate

10/09/2006