JOSEPH W RUSSELL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064556

License Status

ACTIVE

Business

First Name

JOSEPH W

Last Name

RUSSELL

Suffix

Business Name

JOSEPH W RUSSELL DO

Original Issue Date

06/28/1982

Effective Date

06/06/2023

Expiration Date

07/31/2026

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

06/06/2023