RUSSELL WERNER JUNG - Dentist License in Illinois | # 019019111

RUSSELL WERNER JUNG

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019111

License Status

INACTIVE

Business

N

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

State

IL

Ever Disciplined

N

LastModifiedDate

06/06/2012