JOHN R RUSSELL DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036082196

License Status

NOT RENEWED

Business

First Name

JOHN R

Last Name

RUSSELL

Suffix

Business Name

JOHN R RUSSELL DO

Original Issue Date

03/16/1991

Effective Date

03/16/1991

Expiration Date

07/31/1993

City

ST LOUIS

State

Zip

63123

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/17/2013

Case Number

2013001928

Action

Refuse To Renew

Discipline Start Date

06/07/2013

Discipline Reason

after being disciplined by the state of Missouri.