JAMES ALEXANDER RUSSELL DO Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070376

License Status

CANCELLED

Business

Title

First Name

JAMES

Middle

ALEXANDER

Last Name

RUSSELL

Business Name

JAMES ALEXANDER RUSSELL DO

Original Issue Date

06/25/2017

Effective Date

06/25/2017

Expiration Date

06/24/2020

City

PARK RIDGE

State

Zip

60068

County

COOK

Specialty/Qualifier

Internal Medicine

Ever Disciplined

LastModifiedDate

05/03/2017