JEFFREY C RUSSO DMD - Dentist License in Massachusetts | # 019030410

JEFFREY C RUSSO DMD

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019030410

License Status

NOT RENEWED

Business

N

Title

DMD

First Name

JEFFREY

Middle

C

Last Name

RUSSO

Business Name

JEFFREY C RUSSO DMD

Original Issue Date

08/04/2015

Effective Date

09/24/2018

Expiration Date

01/31/2022

State

MA

Ever Disciplined

N

LastModifiedDate

05/09/2022