ERIC GLENN RUSSELL Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED CHIROPRACTIC PHYSICIAN

License Number

038007972

License Status

INACTIVE

Business

First Name

ERIC GLENN

Last Name

RUSSELL

Business Name

ERIC GLENN RUSSELL

Original Issue Date

06/25/1996

Effective Date

06/25/1996

Expiration Date

07/31/2005

City

BILTMORE LAKE

State

Zip

28715

Ever Disciplined

LastModifiedDate

10/09/2006