CAMERON MATTHEW RUSSELL - Dentist License in Utah | # 019025874

CAMERON MATTHEW RUSSELL

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019025874

License Status

NOT RENEWED

Business

N

First Name

CAMERON

Middle

MATTHEW

Last Name

RUSSELL

Business Name

CAMERON MATTHEW RUSSELL

Original Issue Date

06/13/2002

Effective Date

06/13/2002

Expiration Date

09/30/2004

State

UT

Ever Disciplined

N

LastModifiedDate

10/17/2005