RUSSELL ROBERTSON BEAR DO Medical Doctor License verification

Business Entity

EXPIRED

License Type

Medical Doctor

Description

LIMITED MEDICAL TEMPORARY PERMIT

License Number

130000650

License Status

EXPIRED

Business

First Name

RUSSELL

Middle

ROBERTSON

Last Name

BEAR

Suffix

Business Name

RUSSELL ROBERTSON BEAR DO

Original Issue Date

04/05/2005

Effective Date

04/05/2005

Expiration Date

10/04/2005

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

LastModifiedDate

09/25/2006