PATRICIA L RUSSELL MD Occupational Therapist License verification

Business Entity

NOT RENEWED

License Type

Occupational Therapist

Description

OCCUPATIONAL THERAPIST

License Number

056000859

License Status

NOT RENEWED

Business

Title

First Name

PATRICIA L

Last Name

RUSSELL

Business Name

PATRICIA L RUSSELL MD

Original Issue Date

08/08/1984

Expiration Date

12/31/1985

City

COUNTRYSIDE

State

Zip

60625

County

COOK

Ever Disciplined

LastModifiedDate

07/28/2005