TROY MATTHEW RUSSELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036139898

License Status

NOT RENEWED

Business

Title

First Name

TROY

Middle

MATTHEW

Last Name

RUSSELL

Business Name

TROY MATTHEW RUSSELL MD

Original Issue Date

03/01/2016

Effective Date

09/16/2020

Expiration Date

07/31/2023

City

BOSTON

State

Zip

02124

Ever Disciplined

LastModifiedDate

11/30/2023