RUSSELL W CARTER DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036102415

License Status

NOT RENEWED

Business

First Name

RUSSELL

Middle

Last Name

CARTER

Suffix

Business Name

RUSSELL W CARTER DO

Original Issue Date

05/03/2000

Effective Date

05/06/2011

Expiration Date

07/31/2014

City

PADUCAH

State

Zip

42003

County

KENTUCKY

Ever Disciplined

LastModifiedDate

11/17/2014