CHRISTOPHER THOMAS RUSSELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113584

License Status

ACTIVE

Business

First Name

CHRISTOPHER

Middle

THOMAS

Last Name

RUSSELL

Suffix

Business Name

CHRISTOPHER THOMAS RUSSELL MD

Original Issue Date

04/28/2005

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

ANNA

State

Zip

62906

County

UNION

Ever Disciplined

LastModifiedDate

04/12/2023