ROBERT CHARLES RUSSELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****23

License Status

ACTIVE

Business

Title

First Name

ROBERT

Middle

CHARLES

Last Name

RUSSELL

Business Name

ROBERT CHARLES RUSSELL MD

Original Issue Date

01/01/1997

Effective Date

07/18/2023

Expiration Date

07/31/2026

City

SPRINGFIELD

State

Zip

62702

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/18/2023