BRUCE R RUSSELL - Dentist License in Massachusetts | # 019021194

BRUCE R RUSSELL

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021194

License Status

NOT RENEWED

Business

N

First Name

BRUCE R

Last Name

RUSSELL

Business Name

BRUCE R RUSSELL

Original Issue Date

07/29/1988

Effective Date

07/29/1988

Expiration Date

09/30/1992

State

MA

Ever Disciplined

N

LastModifiedDate

10/12/2005