MELISSA DANIELLE RUSSELL Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012748

License Status

ACTIVE

Business

First Name

MELISSA

Middle

DANIELLE

Last Name

RUSSELL

Business Name

MELISSA DANIELLE RUSSELL

Original Issue Date

01/28/2009

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

SHELBYVILLE

State

Zip

62565

County

SHELBY

Ever Disciplined

LastModifiedDate

10/01/2024