THOMAS MORISON RUSSELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036171431

License Status

ACTIVE

Business

Title

First Name

THOMAS

Middle

MORISON

Last Name

RUSSELL

Business Name

THOMAS MORISON RUSSELL MD

Original Issue Date

08/02/2024

Effective Date

08/02/2024

Expiration Date

07/31/2026

City

BLOOMINGTON

State

Zip

61701

County

MCLEAN

Ever Disciplined

LastModifiedDate

08/02/2024