RUSSELL G KOOY MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050085

License Status

INACTIVE

Business

First Name

RUSSELL G

Last Name

KOOY

Suffix

Business Name

RUSSELL G KOOY MD

Original Issue Date

10/10/1974

Effective Date

10/10/1974

Expiration Date

07/31/1987

City

AUSTIN

State

Zip

55912

County

MINNESOTA

Ever Disciplined

LastModifiedDate

01/26/2007