LAURA WALSH RUSSELL DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019026106

License Status

INACTIVE

Business

First Name

LAURA

Last Name

WALSH RUSSELL

Suffix

DDS

Business Name

LAURA WALSH RUSSELL DDS

Original Issue Date

05/22/2003

Effective Date

09/30/2004

Expiration Date

09/30/2006

City

BROOKFIELD

State

Zip

53045

Ever Disciplined

LastModifiedDate

07/24/2006