JEFFREY RUSSELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****33

License Status

NOT RENEWED

Business

First Name

JEFFREY

Last Name

RUSSELL

Suffix

Business Name

JEFFREY RUSSELL MD

Original Issue Date

03/25/1981

Effective Date

03/25/1981

Expiration Date

07/31/1984

City

ELK GROVE VILLAGE

State

Zip

60007

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/26/2006