RUSSELL JAMES WOOD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036039598

License Status

NOT RENEWED

Business

First Name

RUSSELL JAMES

Last Name

WOOD

Suffix

Business Name

RUSSELL JAMES WOOD MD

Original Issue Date

03/02/1965

Effective Date

03/02/1965

Expiration Date

07/31/1987

City

WOOD RIVER

State

Zip

62095

County

MADISON

Ever Disciplined

LastModifiedDate

09/20/2006

Case Number

1985000573

Action

Suspension

Discipline Start Date

05/11/1987