RUSSELL GORDON BOOTHE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED SPECIALIST IN DENTISTRY

License Number

021000111

License Status

NOT RENEWED

Business

First Name

RUSSELL GORDON

Last Name

BOOTHE

Business Name

RUSSELL GORDON BOOTHE

Original Issue Date

12/03/1942

Effective Date

12/03/1942

Expiration Date

09/30/1984

City

EVANSTON

State

Zip

60201

County

COOK

Specialty/Qualifier

Oral and Maxillofacial Surgery

Ever Disciplined

LastModifiedDate

10/13/2005