DARIUS G RUSSIN 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

DARIUS G

Last Name

RUSSIN

Suffix

Business Name

DARIUS G RUSSIN MD

Original Issue Date

06/08/1987

Effective Date

06/08/1987

Expiration Date

07/31/2005

City

QUINCY

State

Zip

62301

County

ADAMS

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/07/2011