RUSSELL R REID MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036104567

License Status

ACTIVE

Business

First Name

RUSSELL

Middle

Last Name

REID

Suffix

Business Name

RUSSELL R REID MD

Original Issue Date

04/20/2001

Effective Date

04/11/2023

Expiration Date

07/31/2026

City

CHICAGO

State

Zip

60637

County

COOK

Ever Disciplined

LastModifiedDate

08/17/2023