DAVID H RUSSELL - Dentist License in Illinois | # 019021246

DAVID H RUSSELL

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021246

License Status

NOT RENEWED

Business

N

First Name

DAVID H

Last Name

RUSSELL

Business Name

DAVID H RUSSELL

Original Issue Date

08/13/1988

Effective Date

08/13/1988

Expiration Date

09/30/1990

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005