HOLLY E RUSSELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036120579

License Status

ACTIVE

Business

First Name

HOLLY

Middle

Last Name

RUSSELL

Suffix

Business Name

HOLLY E RUSSELL MD

Original Issue Date

04/14/2008

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

TINLEY PARK

State

Zip

60487

County

COOK

Ever Disciplined

LastModifiedDate

04/18/2023