ANN MARIE FREDERICK RUSSELL Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038010240

License Status

INACTIVE

Business

First Name

ANN MARIE

Middle

FREDERICK

Last Name

RUSSELL

Business Name

ANN MARIE FREDERICK RUSSELL

Original Issue Date

09/09/2004

Effective Date

07/30/2014

Expiration Date

07/31/2017

City

PLAINFIELD

State

Zip

60544

County

WILL

Ever Disciplined

LastModifiedDate

04/11/2017