JEFFREY RUSSELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036061775

License Status

NOT RENEWED

Business

First Name

JEFFREY

Last Name

RUSSELL

Suffix

Business Name

JEFFREY RUSSELL MD

Original Issue Date

02/27/1981

Effective Date

02/27/1981

Expiration Date

07/31/1984

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006