JAMES GHLEE RUSSELL MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036042452

License Status

INACTIVE

Business

First Name

JAMES

Middle

GHLEE

Last Name

RUSSELL

Suffix

Business Name

JAMES GHLEE RUSSELL MD

Original Issue Date

04/14/1969

Effective Date

04/14/1969

Expiration Date

07/31/1999

City

SPRINGFIELD

State

Zip

62707

County

SANGAMON

Ever Disciplined

LastModifiedDate

09/20/2006