BRUCE R RUSSELL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021194

License Status

NOT RENEWED

Business

First Name

BRUCE R

Last Name

RUSSELL

Business Name

BRUCE R RUSSELL

Original Issue Date

07/29/1988

Effective Date

07/29/1988

Expiration Date

09/30/1992

City

LYNNFIELD

State

Zip

01940

County

MASSACHUSETTS

Ever Disciplined

LastModifiedDate

10/12/2005