RUSSELL HAL MCUNE MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036173430

License Status

ACTIVE

Business

Title

First Name

RUSSELL

Middle

HAL

Last Name

MCUNE

Business Name

RUSSELL HAL MCUNE MD

Original Issue Date

01/17/2025

Effective Date

01/17/2025

Expiration Date

07/31/2026

City

RIGBY

State

Zip

83442

County

JEFFERSON

Ever Disciplined

LastModifiedDate

01/17/2025