RUSSELL WILLIAM HYDE DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125070923

License Status

EXPIRED

Business

Title

First Name

RUSSELL

Middle

WILLIAM

Last Name

HYDE

Business Name

RUSSELL WILLIAM HYDE DO

Original Issue Date

07/01/2017

Effective Date

07/01/2017

Expiration Date

06/30/2019

City

OLYMPIA FIELDS

State

Zip

60461

County

COOK

Specialty/Qualifier

General Surgery

Ever Disciplined

LastModifiedDate

10/02/2019