RUSSELL J SIMONETTA MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036028145

License Status

INACTIVE

Business

First Name

RUSSELL J

Last Name

SIMONETTA

Suffix

Business Name

RUSSELL J SIMONETTA MD

Original Issue Date

08/15/1947

Effective Date

08/15/1947

Expiration Date

07/31/1993

City

SPRING VALLEY

State

Zip

61362

County

BUREAU

Ever Disciplined

LastModifiedDate

09/20/2006