KAREN R RUSSELL M.D. Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125043725

License Status

CANCELLED

Business

Title

M.D.

First Name

KAREN

Middle

Last Name

RUSSELL

Business Name

KAREN R RUSSELL M.D.

Original Issue Date

07/24/2001

Effective Date

07/24/2001

Expiration Date

07/23/2004

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

09/22/2006