LUCILLE J RUSSELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036067024

License Status

NOT RENEWED

Business

First Name

LUCILLE J

Last Name

RUSSELL

Suffix

Business Name

LUCILLE J RUSSELL MD

Original Issue Date

07/21/1983

Effective Date

04/24/2014

Expiration Date

07/31/2017

City

YARDLEY

State

Zip

19067

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

11/01/2017