RANDY RUSSELLE BARES - Dentist License in Illinois | # 020001437

RANDY RUSSELLE BARES

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001437

License Status

NOT RENEWED

Business

N

First Name

RANDY RUSSELLE

Last Name

BARES

Business Name

RANDY RUSSELLE BARES

Original Issue Date

07/08/1971

Effective Date

07/08/1971

Expiration Date

09/30/1992

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005