JEAN H RUSSELL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020006152

License Status

NOT RENEWED

Business

First Name

JEAN H

Last Name

RUSSELL

Business Name

JEAN H RUSSELL

Original Issue Date

07/21/1986

Effective Date

07/21/1986

Expiration Date

09/30/1992

City

WAUKESHA

State

Zip

53186

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005