ALYSSA ANN RUSSOW Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020017064

License Status

ACTIVE

Business

First Name

ALYSSA

Middle

ANN

Last Name

RUSSOW

Business Name

ALYSSA ANN RUSSOW

Original Issue Date

10/05/2020

Effective Date

08/24/2024

Expiration Date

09/30/2027

City

LAKE IN THE HILLS

State

Zip

60156

County

MCHENRY

Ever Disciplined

LastModifiedDate

08/24/2024