JOHN J RUSSELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****78

License Status

NOT RENEWED

Business

First Name

JOHN J

Last Name

RUSSELL

Suffix

Business Name

JOHN J RUSSELL MD

Original Issue Date

02/24/1992

Effective Date

02/24/1992

Expiration Date

07/31/1993

City

CAPE GIRARDEAU

State

Zip

63701

County

MISSOURI

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/12/2017