CHRISTINA A RUSSELL Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001733

License Status

INACTIVE

Business

First Name

CHRISTINA A

Last Name

RUSSELL

Business Name

CHRISTINA A RUSSELL

Original Issue Date

07/13/1972

Effective Date

07/13/1972

Expiration Date

09/30/1994

City

MANVILLE

State

Zip

61339

County

LIVINGSTON

Ever Disciplined

LastModifiedDate

10/12/2005