RUSSELL D DONNELLY MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036064434

License Status

NOT RENEWED

Business

First Name

RUSSELL D

Last Name

DONNELLY

Suffix

Business Name

RUSSELL D DONNELLY MD

Original Issue Date

06/08/1982

Effective Date

06/08/1982

Expiration Date

07/31/1984

City

ROCHESTER

State

Zip

14607

County

NEW YORK

Ever Disciplined

LastModifiedDate

03/30/2009