License holder summary

Patrick W. Russell is a Controlled Substance Registration-Osteopathic Physician licensed to practice in Indiana. The address on file for Patrick W. Russell is Elkhart Neurology, P.C., 2746 Old U.S. 20 West Ste A, Elkhart IN 46514. This licensed professional license is current. The license was granted 05/22/1991 and expired on 10/31/2015.

Indiana

Professional Licensing Agency

Patrick W. Russell
Controlled Substance Registration-Osteopathic Physician
License number
02001219B
Date granted
05/22/1991
Date expires
10/31/2015
Class
Controlled Substance Registration-Osteopathic Physician
Status
Active
Address
Elkhart Neurology, P.C., 2746 Old U.S. 20 West Ste A, Elkhart IN 46514
indianalicensing.org
ID 5799291
LAST UPDATED 2024-01-18 01:21:21 UTC

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