BURTON ALAN RUSSMAN MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036034380

License Status

NOT RENEWED

Business

First Name

BURTON ALAN

Last Name

RUSSMAN

Suffix

Business Name

BURTON ALAN RUSSMAN MD

Original Issue Date

11/27/1956

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

11/06/2008

Case Number

2003006875

Action

Reprimand

Discipline Start Date

01/22/2004