SHARMAN MAURISSA RUSSELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****73

License Status

NOT RENEWED

Business

Title

First Name

SHARMAN

Middle

MAURISSA

Last Name

RUSSELL

Business Name

SHARMAN MAURISSA RUSSELL MD

Original Issue Date

01/31/2014

Effective Date

05/01/2014

Expiration Date

07/31/2017

City

MARYVILLE

State

Zip

62062

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017