RUSSELL HERBERT PITCH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015629

License Status

NOT RENEWED

Business

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

City

PAXTON

State

Zip

60957

County

FORD

Ever Disciplined

LastModifiedDate

05/09/2022