RUSSELL JOHN BAK DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019024912

License Status

ACTIVE

Business

First Name

RUSSELL

Middle

JOHN

Last Name

BAK

Suffix

DDS

Business Name

RUSSELL JOHN BAK DDS

Original Issue Date

11/23/1998

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

PLAINFIELD

State

Zip

60585

County

WILL

Ever Disciplined

LastModifiedDate

09/30/2024