RUSSELL ALAN SUPERFINE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036054065

License Status

NOT RENEWED

Business

First Name

RUSSELL ALAN

Last Name

SUPERFINE

Suffix

Business Name

RUSSELL ALAN SUPERFINE MD

Original Issue Date

01/13/1977

Effective Date

01/13/1977

City

SKOKIE

State

Zip

60076

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006