RUSSELL R REID MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125037708

License Status

EXPIRED

Business

First Name

RUSSELL

Middle

Last Name

REID

Suffix

Business Name

RUSSELL R REID MD

Original Issue Date

05/13/1998

Effective Date

05/13/1998

Expiration Date

06/15/2001

City

CHICAGO

State

Zip

60611

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

09/22/2006