CHRISTOPHER M RUSSELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036168208

License Status

ACTIVE

Business

Title

First Name

CHRISTOPHER

Middle

Last Name

RUSSELL

Business Name

CHRISTOPHER M RUSSELL MD

Original Issue Date

01/10/2024

Effective Date

01/10/2024

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

01/10/2024