DARIUS G RUSSIN MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125019980

License Status

EXPIRED

Business

First Name

DARIUS G

Last Name

RUSSIN

Suffix

Business Name

DARIUS G RUSSIN MD

Original Issue Date

07/07/1986

Effective Date

07/07/1986

Expiration Date

07/01/1989

City

QUINCY

State

Zip

62301

County

ADAMS

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

09/22/2006