HUGH DONOVAN RUSSELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064027

License Status

NOT RENEWED

Business

First Name

HUGH DONOVAN

Last Name

RUSSELL

Suffix

Business Name

HUGH DONOVAN RUSSELL MD

Original Issue Date

03/04/1982

Effective Date

06/10/2020

Expiration Date

07/31/2023

City

CHICAGO

State

Zip

60628

County

COOK

Ever Disciplined

LastModifiedDate

11/30/2023