HUGH DONOVAN RUSSELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****63

License Status

NOT RENEWED

Business

First Name

HUGH DONOVAN

Last Name

RUSSELL

Suffix

Business Name

HUGH DONOVAN RUSSELL MD

Original Issue Date

08/03/1984

Effective Date

08/03/1984

Expiration Date

07/31/2008

City

CHICAGO

State

Zip

60617

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/05/2020