RUSSELL ALEXANDER WHITEHEAD MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125085822

License Status

ACTIVE

Business

Title

First Name

RUSSELL

Middle

ALEXANDER

Last Name

WHITEHEAD

Business Name

RUSSELL ALEXANDER WHITEHEAD MD

Original Issue Date

07/01/2025

Effective Date

07/01/2025

Expiration Date

06/30/2028

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Otolaryngology

Ever Disciplined

LastModifiedDate

05/16/2025