TIMOTHY J RUSSELL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036068574

License Status

ACTIVE

Business

First Name

TIMOTHY J

Last Name

RUSSELL

Suffix

Business Name

TIMOTHY J RUSSELL DO

Original Issue Date

04/25/1984

Effective Date

06/09/2023

Expiration Date

07/31/2026

City

TINLEY PARK

State

Zip

60487

County

COOK

Ever Disciplined

LastModifiedDate

06/09/2023