RUSSELL HERBERT PITCH DDS - Dentist License in Illinois | # 019015629

RUSSELL HERBERT PITCH DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015629

License Status

NOT RENEWED

Business

N

First Name

RUSSELL HERBERT

Last Name

PITCH

Suffix

DDS

Business Name

RUSSELL HERBERT PITCH DDS

Original Issue Date

07/13/1976

Effective Date

07/30/2018

Expiration Date

01/31/2022

State

IL

Ever Disciplined

N

LastModifiedDate

05/09/2022