Heather Marie Russell
ExpiredCalifornia license 60980
License
- Licensed by
- Dental Board of California
- License number
- 60980
- Status
- Expired (Delinquent)
- First issued
- October 31, 2011
- Expired
- January 31, 2024
- License holder
- Heather Marie Russell
- Entity type
- Individual
Classifications
- Dental License Dental
More from the license record
- License type code
- 4401
Contact
435 W Walnut St
Newport, WA 99156-9033
Newport, WA 99156-9033
Pend Oreille County