TIMOTHY GLENN RUSSELL MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036161856

License Status

ACTIVE

Business

Title

First Name

TIMOTHY

Middle

GLENN

Last Name

RUSSELL

Business Name

TIMOTHY GLENN RUSSELL MD

Original Issue Date

08/08/2022

Effective Date

07/20/2023

Expiration Date

07/31/2026

City

HOUSTON

State

Zip

77040

Ever Disciplined

LastModifiedDate

07/20/2023