HUGH DONOVAN RUSSELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****61

License Status

NOT RENEWED

Business

First Name

HUGH DONOVAN

Last Name

RUSSELL

Suffix

Business Name

HUGH DONOVAN RUSSELL MD

Original Issue Date

05/10/1982

Effective Date

07/11/2017

Expiration Date

09/30/2020

City

CHICAGO

State

Zip

60628

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

01/14/2021