ROBERT MITCHELL RUSSELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036041801

License Status

NOT RENEWED

Business

First Name

ROBERT MITCHELL

Last Name

RUSSELL

Suffix

Business Name

ROBERT MITCHELL RUSSELL MD

Original Issue Date

07/01/1968

Effective Date

07/01/1968

Expiration Date

07/31/1987

City

BOSTON

State

Zip

02111

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

09/20/2006