LUCILLE J RUSSELL MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****29

License Status

NOT RENEWED

Business

First Name

LUCILLE J

Last Name

RUSSELL

Suffix

Business Name

LUCILLE J RUSSELL MD

Original Issue Date

08/29/1983

Effective Date

04/24/2014

Expiration Date

07/31/2017

City

YARDLEY

State

Zip

19067

County

PENNSYLVANIA

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/01/2017