JAMES ALEXANDER RUSSELL DO Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036152500

License Status

ACTIVE

Business

Title

First Name

JAMES

Middle

ALEXANDER

Last Name

RUSSELL

Business Name

JAMES ALEXANDER RUSSELL DO

Original Issue Date

04/08/2020

Effective Date

05/03/2023

Expiration Date

07/31/2026

City

PARK RIDGE

State

Zip

60068

County

COOK

Ever Disciplined

LastModifiedDate

05/03/2023