RUSSELL LEROY PARKER - Dentist License in Illinois | # 019010059

RUSSELL LEROY PARKER

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010059

License Status

NOT RENEWED

Business

N

First Name

RUSSELL LEROY

Last Name

PARKER

Business Name

RUSSELL LEROY PARKER

Original Issue Date

08/15/1952

Effective Date

08/15/1952

Expiration Date

09/30/1988

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005