KEITH RUSSELL RUTER Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019019570

License Status

NOT RENEWED

Business

First Name

KEITH RUSSELL

Last Name

RUTER

Business Name

KEITH RUSSELL RUTER

Original Issue Date

07/12/1985

Effective Date

06/20/2018

Expiration Date

01/31/2022

City

FORRESTON

State

Zip

61030

County

OGLE

Ever Disciplined

LastModifiedDate

05/09/2022