RUSSELL LEE STEFFENSEN DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125071187

License Status

EXPIRED

Business

Title

First Name

RUSSELL

Middle

LEE

Last Name

STEFFENSEN

Business Name

RUSSELL LEE STEFFENSEN DO

Original Issue Date

07/03/2017

Effective Date

07/03/2017

Expiration Date

07/02/2020

City

HINSDALE

State

Zip

60521

County

DUPAGE

Specialty/Qualifier

Family Medicine

Ever Disciplined

LastModifiedDate

11/19/2020