JAMES RUSSELL STEWART DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036113815

License Status

NOT RENEWED

Business

First Name

JAMES

Middle

RUSSELL

Last Name

STEWART

Suffix

Business Name

JAMES RUSSELL STEWART DO

Original Issue Date

05/27/2005

Effective Date

07/31/2006

Expiration Date

07/31/2008

City

SPANISH FORK

State

Zip

84660

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/06/2008