RUSSELL HERMAN TOMAR MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****20

License Status

NOT RENEWED

Business

First Name

RUSSELL

Middle

HERMAN

Last Name

TOMAR

Suffix

Business Name

RUSSELL HERMAN TOMAR MD

Original Issue Date

11/07/2001

Effective Date

08/19/2008

Expiration Date

07/31/2011

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/10/2011