RUSSELL S RUZICH MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036052651

License Status

NOT RENEWED

Business

First Name

RUSSELL S

Last Name

RUZICH

Suffix

Business Name

RUSSELL S RUZICH MD

Original Issue Date

04/15/1976

Effective Date

04/15/1976

City

GREAT LAKES

State

Zip

60088

County

LAKE

Ever Disciplined

LastModifiedDate

09/20/2006