HORTENSE PATRICIA RUSSELL DO Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036145134

License Status

NOT RENEWED

Business

Title

First Name

HORTENSE

Middle

PATRICIA

Last Name

RUSSELL

Business Name

HORTENSE PATRICIA RUSSELL DO

Original Issue Date

02/16/2018

Effective Date

08/03/2020

Expiration Date

07/31/2023

City

FOREST

State

Zip

24551

Ever Disciplined

LastModifiedDate

11/30/2023