RUSSELL GORDON BOOTHE Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019006554

License Status

INACTIVE

Business

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

City

EVANSTON

State

Zip

60201

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005