RUSSELL G BOESTER DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****98

License Status

NOT RENEWED

Business

First Name

RUSSELL G

Last Name

BOESTER

Suffix

DMD

Business Name

RUSSELL G BOESTER DMD

Original Issue Date

10/28/2002

Effective Date

07/24/2006

Expiration Date

09/30/2009

City

MARION

State

Zip

62959

County

WILLIAMSON

Controlled Substance Schedule

Ever Disciplined

LastModifiedDate

11/04/2009