Mary Jo Russell
InactiveIllinois license 085000342
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 085000342
- Status
- Inactive
- First issued
- December 15, 1987
- Expired
- March 1, 2016
- License holder
- Mary Jo Russell
- Entity type
- Individual
Classifications
- Licensed Physician Assistant Physicians & Surgeons
More from the license record
- Current term began
- 09/23/2014
Other Illinois licenses under this name
-
IL
ExpiredMoline, ILExpired Mar 1, 2016
Contact
Moline, IL 61265
Rock Island County