BONNIE S LARUSSA Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006197

License Status

ACTIVE

Business

First Name

BONNIE S

Last Name

LARUSSA

Business Name

BONNIE S LARUSSA

Original Issue Date

07/31/1986

Effective Date

05/10/2024

Expiration Date

09/30/2027

City

PHOENIX

State

Zip

85021

Ever Disciplined

LastModifiedDate

05/10/2024