RUSSELL OLIVER SIMPSON MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125076293

License Status

CANCELLED

Business

Title

First Name

RUSSELL

Middle

OLIVER

Last Name

SIMPSON

Business Name

RUSSELL OLIVER SIMPSON MD

Original Issue Date

07/01/2021

Effective Date

07/01/2021

Expiration Date

06/30/2024

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Interventional Radiology - Integrated

Ever Disciplined

LastModifiedDate

06/22/2021