JAMES ALEXANDER RUSSELL DO

Business Entity
ACTIVE

Medical Doctor

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

33*****99

ACTIVE

N

DO

JAMES

ALEXANDER

RUSSELL

JAMES ALEXANDER RUSSELL DO

04/15/2020

05/03/2023

07/31/2026

CHICAGO

IL

60612

COOK

PRACTITIONER

II III IV V

N

05/03/2023