RUSSELL P SPINAZZE DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000641

License Status

NOT RENEWED

Business

First Name

RUSSELL P

Last Name

SPINAZZE

Suffix

DDS

Business Name

RUSSELL P SPINAZZE DDS

Original Issue Date

07/08/1992

Effective Date

07/08/1992

Expiration Date

06/30/1993

City

CHICAGO

State

Zip

60612

County

COOK

Specialty/Qualifier

General Practice Residency

Ever Disciplined

LastModifiedDate

10/12/2005