RUSSELL C HOLPUCH DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****09

License Status

NOT RENEWED

Business

First Name

RUSSELL C

Last Name

HOLPUCH

Suffix

DDS

Business Name

RUSSELL C HOLPUCH DDS

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

DOWNERS GROVE

State

Zip

60515

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005