FREDERICK P RUSSEK JR DO Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036077116

License Status

INACTIVE

Business

First Name

FREDERICK P

Last Name

RUSSEK JR

Suffix

Business Name

FREDERICK P RUSSEK JR DO

Original Issue Date

06/11/1988

Effective Date

06/11/1988

Expiration Date

07/31/1993

City

HENDERSON

State

Zip

89014

County

NEVADA

Ever Disciplined

LastModifiedDate

12/14/2011