RUSSELL MERLE STAUFFER MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036034242

License Status

NOT RENEWED

Business

First Name

RUSSELL MERLE

Last Name

STAUFFER

Suffix

Business Name

RUSSELL MERLE STAUFFER MD

Original Issue Date

08/21/1956

Effective Date

08/21/1956

Expiration Date

07/31/1999

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

09/20/2006