RUSSELL GEORGE TRIPP DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****62

License Status

NOT RENEWED

Business

First Name

RUSSELL GEORGE

Last Name

TRIPP

Suffix

DDS

Business Name

RUSSELL GEORGE TRIPP DDS

Original Issue Date

08/04/1981

Effective Date

09/20/2018

Expiration Date

01/31/2022

City

WARRENVILLE

State

Zip

60555

County

DUPAGE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/09/2022