License holder summary

LAURA J RUSSELL is a Physician licensed to practice in Indiana. The address on file for LAURA J RUSSELL is CHARLOTTESVILLE VA 22901. This licensed professional license is not current. The license was granted 08/06/1975 and expired on 06/30/1991.

Indiana

Professional Licensing Agency

LAURA J RUSSELL
Physician
License number
01026353A
Date granted
08/06/1975
Date expires
06/30/1991
Class
Physician
Status
Expired Non-Renewable
Address
CHARLOTTESVILLE VA 22901
indianalicensing.org
ID 6038195
LAST UPDATED 2024-02-12 11:05:53 UTC

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