RUSSELL A DIXON JR DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019012156

License Status

INACTIVE

Business

First Name

RUSSELL A

Last Name

DIXON JR

Suffix

DDS

Business Name

RUSSELL A DIXON JR DDS

Original Issue Date

11/07/1962

Effective Date

10/01/2006

Expiration Date

09/30/2009

City

CHICAGO

State

Zip

60612

County

COOK

Ever Disciplined

LastModifiedDate

06/04/2009