RUSSELL L PARKS DDS - Dentist License in Illinois | # 019014129

RUSSELL L PARKS DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014129

License Status

NOT RENEWED

Business

N

First Name

RUSSELL L

Last Name

PARKS

Suffix

DDS

Business Name

RUSSELL L PARKS DDS

Original Issue Date

07/08/1971

Effective Date

09/27/2012

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

02/08/2016