JOHN J RUSSELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082166

License Status

NOT RENEWED

Business

First Name

JOHN J

Last Name

RUSSELL

Suffix

Business Name

JOHN J RUSSELL MD

Original Issue Date

03/09/1991

Effective Date

07/23/2014

Expiration Date

07/31/2017

City

CAPE GIRARDEAU

State

Zip

63701

County

MISSOURI

Ever Disciplined

LastModifiedDate

11/01/2017