RUSSELL WERNER JUNG Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019111

License Status

INACTIVE

Business

First Name

RUSSELL WERNER

Last Name

JUNG

Business Name

RUSSELL WERNER JUNG

Original Issue Date

08/02/1984

Effective Date

09/28/2009

Expiration Date

09/30/2012

City

MORTON GROVE

State

Zip

60053

County

COOK

Ever Disciplined

LastModifiedDate

06/06/2012