Russell Kent Wangen Dmd

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

019015698

Status

Inactive

First issued

September 20, 1976

Expired

December 31, 2021

License holder

Russell Kent Wangen Dmd

Entity type

Individual

Classifications

• Licensed Dentist (Dental) Dental

More from the license record

Current term began

06/14/2018

Other Illinois licenses under this name

• IL
  Russell Kent Wangen Dmd

  License 31*****48

  Licensed Dentist Controlled Substance (Dental)
  Inactive

  Pawnee, IL

  Expired Dec 31, 2021

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