RUSSELL J ORD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036048977

License Status

NOT RENEWED

Business

First Name

RUSSELL J

Last Name

ORD

Suffix

Business Name

RUSSELL J ORD MD

Original Issue Date

02/20/1974

Effective Date

02/20/1974

City

CHICAGO

State

Zip

60643

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006