RUSSELL D SHARPSWAIN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125047873

License Status

EXPIRED

Business

First Name

RUSSELL

Middle

Last Name

SHARPSWAIN

Suffix

Business Name

RUSSELL D SHARPSWAIN DO

Original Issue Date

06/28/2004

Effective Date

06/28/2004

Expiration Date

06/27/2007

City

OAK LAWN

State

Zip

60453

County

COOK

Specialty/Qualifier

Emergency Medicine

Ever Disciplined

LastModifiedDate

07/03/2007