RUSSELL G ROBERTSON MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****11

License Status

NOT RENEWED

Business

First Name

RUSSELL

Middle

Last Name

ROBERTSON

Suffix

Business Name

RUSSELL G ROBERTSON MD

Original Issue Date

06/20/2014

Effective Date

06/20/2014

Expiration Date

07/31/2017

City

CHICAGO

State

Zip

60622

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017