ANDREW COLIN RUSSELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036134694

License Status

ACTIVE

Business

Title

First Name

ANDREW

Middle

COLIN

Last Name

RUSSELL

Business Name

ANDREW COLIN RUSSELL MD

Original Issue Date

02/26/2014

Effective Date

04/18/2023

Expiration Date

07/31/2026

City

EDWARDSVILLE

State

Zip

62025

County

MADISON

Ever Disciplined

LastModifiedDate

04/18/2023