License holder summary

Evan Joseph Russell is a Medical Board - 58.Do Training Certificate licensed to practice in Ohio. The address on file for Evan Joseph Russell is Fairfield Medical Center, c/o Internal Medicine Dept, 401 N Ewing Street, Lancaster, OH 43130. This licensed professional license is current. The license was granted 10/22/2014 and expired on 06/30/2017.

Ohio

Board of Licensing

Evan Joseph Russell
Medical Board - 58.Do Training Certificate
License number
58.005684
Date granted
10/22/2014
Date expires
06/30/2017
Class
Medical Board - 58.Do Training Certificate
Status
Active
Address
Fairfield Medical Center, c/o Internal Medicine Dept, 401 N Ewing Street, Lancaster, OH 43130
ohiolicensing.org
ID 29579690
LAST UPDATED 2024-02-15 00:59:25 UTC

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