CAMILLE A RUSSELL-MCKESEY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****43

License Status

NOT RENEWED

Business

First Name

CAMILLE

Middle

Last Name

RUSSELL-MCKESEY

Suffix

Business Name

CAMILLE A RUSSELL-MCKESEY MD

Original Issue Date

06/05/2002

Effective Date

06/05/2002

Expiration Date

07/31/2005

City

MARYVILLE

State

Zip

62062

County

MADISON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/09/2006