MARY K RUSSELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036148568

License Status

ACTIVE

Business

Title

First Name

MARY

Middle

Last Name

RUSSELL

Business Name

MARY K RUSSELL MD

Original Issue Date

03/13/2019

Effective Date

07/01/2023

Expiration Date

07/31/2026

City

GLENCOE

State

Zip

60022

County

COOK

Ever Disciplined

LastModifiedDate

07/01/2023