License holder summary

Shane Todd Russell is a Medical - Physician And Surgeon licensed to practice in Minnesota. The address on file for Shane Todd Russell is 250 E 6th St, Apt 723, St. Paul, MN 55101. This doctor license is not current. The license was granted 09/11/1999 and expired on 06/30/2005.

Department of Safety and Professional Services

Board of Medical Practice

Shane Todd Russell
Medical - Physician And Surgeon
License number
42060
Date granted
09/11/1999
Date expires
06/30/2005
Class
Medical - Physician And Surgeon
Status
Canceled
Address
250 E 6th St, Apt 723, St. Paul, MN 55101
doctorsminnesota.org
ID 22292111
LAST UPDATED 2024-02-19 05:27:35 UTC

This website is unaffiliated with the Board of Medical Practice. Please verify all information directly with the relevant official government authority.

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