HARRY PATRICK RUSSELL II DMD Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019022003

License Status

INACTIVE

Business

First Name

HARRY PATRICK

Last Name

RUSSELL II

Suffix

DMD

Business Name

HARRY PATRICK RUSSELL II DMD

Original Issue Date

04/19/1990

Effective Date

04/19/1990

Expiration Date

09/30/1994

City

ROANKE

State

Zip

24014

County

VIRGINIA

Ever Disciplined

LastModifiedDate

10/12/2005