RUSSELL R BURGESS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010336

License Status

NOT RENEWED

Business

First Name

RUSSELL R

Last Name

BURGESS

Business Name

RUSSELL R BURGESS

Original Issue Date

08/06/1953

Effective Date

08/06/1953

Expiration Date

09/30/1984

City

N MYRTLE BCH

State

Zip

29582

County

SOUTH CAROLINA

Ever Disciplined

LastModifiedDate

10/12/2005