RUSSELL GORDON BOOTHE - Dentist License in Illinois | # 019006554

RUSSELL GORDON BOOTHE

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019006554

License Status

INACTIVE

Business

N

First Name

RUSSELL GORDON

Last Name

BOOTHE

Business Name

RUSSELL GORDON BOOTHE

Original Issue Date

08/05/1932

Effective Date

08/05/1932

Expiration Date

09/30/1990

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005