JOSEPH EDWARD RUSS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045055

License Status

NOT RENEWED

Business

First Name

JOSEPH EDWARD

Last Name

RUSS

Suffix

Business Name

JOSEPH EDWARD RUSS MD

Original Issue Date

12/16/1971

Effective Date

05/01/2014

Expiration Date

07/31/2017

City

ST CHARLES

State

Zip

60175

County

KANE

Ever Disciplined

LastModifiedDate

11/01/2017