JAMES LEE RUSSELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036045895

License Status

NOT RENEWED

Business

First Name

JAMES LEE

Last Name

RUSSELL

Suffix

Business Name

JAMES LEE RUSSELL MD

Original Issue Date

07/31/1972

Effective Date

07/31/1972

Expiration Date

07/31/2005

City

NAPERVILLE

State

Zip

60540

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006