ROBERT CHARLES RUSSELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061657

License Status

ACTIVE

Business

Title

First Name

ROBERT

Middle

CHARLES

Last Name

RUSSELL

Business Name

ROBERT CHARLES RUSSELL MD

Original Issue Date

02/27/1981

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62711

County

SANGAMON

Ever Disciplined

LastModifiedDate

07/03/2024