RUSSELL T BOTHE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036020421

License Status

NOT RENEWED

Business

First Name

RUSSELL T

Last Name

BOTHE

Suffix

Business Name

RUSSELL T BOTHE MD

Original Issue Date

08/13/1934

Effective Date

08/13/1934

City

AURORA

State

Zip

60504

County

KANE

Ever Disciplined

LastModifiedDate

09/20/2006