JAMES W RUSSELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****06

License Status

NOT RENEWED

Business

First Name

JAMES W

Last Name

RUSSELL

Suffix

Business Name

JAMES W RUSSELL MD

Original Issue Date

10/20/1982

Effective Date

10/20/1982

Expiration Date

07/31/1987

City

OAK PARK

State

Zip

60302

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006