RUSSELL A KESMAN Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****24

License Status

NOT RENEWED

Business

First Name

RUSSELL A

Last Name

KESMAN

Business Name

RUSSELL A KESMAN

Original Issue Date

09/11/1989

Effective Date

09/11/1989

Expiration Date

09/30/1996

City

ELMHURST

State

Zip

60126

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005