CAMILLE A RUSSELL-MCKESEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107022

License Status

NOT RENEWED

Business

First Name

CAMILLE

Middle

Last Name

RUSSELL-MCKESEY

Suffix

Business Name

CAMILLE A RUSSELL-MCKESEY MD

Original Issue Date

05/20/2002

Effective Date

05/20/2002

Expiration Date

07/31/2005

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

10/09/2006