CHRISTOPHER THOMAS RUSSELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****15

License Status

ACTIVE

Business

First Name

CHRISTOPHER

Middle

THOMAS

Last Name

RUSSELL

Suffix

Business Name

CHRISTOPHER THOMAS RUSSELL MD

Original Issue Date

05/10/2005

Effective Date

04/12/2023

Expiration Date

07/31/2026

City

ANNA

State

Zip

62906

County

UNION

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2023