RUSSELL J AUSTIN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020496

License Status

ACTIVE

Business

First Name

RUSSELL J

Last Name

AUSTIN

Business Name

RUSSELL J AUSTIN

Original Issue Date

03/07/1987

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60643

Ever Disciplined

LastModifiedDate

09/27/2024