RUSSELL J AUSTIN Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****03

License Status

ACTIVE

Business

First Name

RUSSELL J

Last Name

AUSTIN

Business Name

RUSSELL J AUSTIN

Original Issue Date

06/22/1987

Effective Date

09/27/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60643

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/27/2024