RUSSELL JOHN PROESEL DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017943

License Status

ACTIVE

Business

First Name

RUSSELL JOHN

Last Name

PROESEL

Suffix

DDS

Business Name

RUSSELL JOHN PROESEL DDS

Original Issue Date

10/22/1981

Effective Date

05/16/2024

Expiration Date

09/30/2027

City

MOUNT ZION

State

Zip

62549

County

MACON

Ever Disciplined

LastModifiedDate

05/16/2024