MATTHEW EDWARD RUSS DMD - Dentist License in Illinois | # 019032226

MATTHEW EDWARD RUSS DMD

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019032226

License Status

ACTIVE

Business

N

Title

DMD

First Name

MATTHEW

Middle

EDWARD

Last Name

RUSS

Business Name

MATTHEW EDWARD RUSS DMD

Original Issue Date

06/26/2019

Effective Date

08/11/2024

Expiration Date

09/30/2027

State

IL

Ever Disciplined

N

LastModifiedDate

08/11/2024