THOMAS MORISON RUSSELL MD Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125068607

License Status

EXPIRED

Business

Title

First Name

THOMAS

Middle

MORISON

Last Name

RUSSELL

Business Name

THOMAS MORISON RUSSELL MD

Original Issue Date

07/01/2022

Effective Date

07/01/2022

Expiration Date

06/30/2023

City

PEORIA

State

Zip

61605

County

PEORIA

Specialty/Qualifier

Neurological Surgery

Ever Disciplined

LastModifiedDate

03/06/2024