KIRIN M RUSSELL Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036071212

License Status

INACTIVE

Business

First Name

KIRIN M

Last Name

RUSSELL

Business Name

KIRIN M RUSSELL

Original Issue Date

07/22/1985

Effective Date

07/22/1985

Expiration Date

07/31/1990

City

TACOMA

State

Zip

98431

County

WASHINGTON

Ever Disciplined

LastModifiedDate

09/20/2006