RUSSELL JOHN BAK DDS - Dentist License in Illinois | # 019024912

RUSSELL JOHN BAK DDS

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024912

License Status

ACTIVE

Business

N

First Name

RUSSELL

Middle

JOHN

Last Name

BAK

Suffix

DDS

Business Name

RUSSELL JOHN BAK DDS

Original Issue Date

11/23/1998

Effective Date

09/30/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

09/30/2024