LUCILLE J RUSSELL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125014744

License Status

EXPIRED

Business

First Name

LUCILLE J

Last Name

RUSSELL

Suffix

Business Name

LUCILLE J RUSSELL MD

Original Issue Date

07/14/1982

Effective Date

07/14/1982

Expiration Date

06/29/1984

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006