RUSSELL LEROY PARKER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010059

License Status

NOT RENEWED

Business

First Name

RUSSELL LEROY

Last Name

PARKER

Business Name

RUSSELL LEROY PARKER

Original Issue Date

08/15/1952

Effective Date

08/15/1952

Expiration Date

09/30/1988

City

FRANKLIN PARK

State

Zip

60131

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005