PATRICK W RUSSELL DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036070264

License Status

NOT RENEWED

Business

First Name

PATRICK W

Last Name

RUSSELL

Suffix

Business Name

PATRICK W RUSSELL DO

Original Issue Date

03/29/1985

Effective Date

03/29/1985

Expiration Date

07/31/2005

City

HINSDALE

State

Zip

60521

County

DUPAGE

Ever Disciplined

LastModifiedDate

10/09/2006