CHRISTINE RUSSELL - Physician Assistant License in Illinois | # 085000670

CHRISTINE RUSSELL

Business Entity

NOT RENEWED

License Type

Physician Assistant

Description

LICENSED PHYSICIAN ASSISTANT

License Number

085000670

License Status

NOT RENEWED

Business

N

First Name

CHRISTINE

Last Name

RUSSELL

Business Name

CHRISTINE RUSSELL

Original Issue Date

01/25/1995

Effective Date

01/25/1995

Expiration Date

03/01/1998

State

IL

Ever Disciplined

N

LastModifiedDate

09/26/2006