RUSSELL C PACKARD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036127926

License Status

NOT RENEWED

Business

Title

First Name

RUSSELL

Middle

Last Name

PACKARD

Business Name

RUSSELL C PACKARD MD

Original Issue Date

05/31/2011

Effective Date

06/02/2014

Expiration Date

07/31/2017

City

PALESTINE

State

Zip

75803

Ever Disciplined

LastModifiedDate

11/01/2017