RUSSELL R BURGESS - Dentist License in South Carolina | # 019010336

RUSSELL R BURGESS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010336

License Status

NOT RENEWED

Business

N

First Name

RUSSELL R

Last Name

BURGESS

Business Name

RUSSELL R BURGESS

Original Issue Date

08/06/1953

Effective Date

08/06/1953

Expiration Date

09/30/1984

State

SC

Ever Disciplined

N

LastModifiedDate

10/12/2005