Jean H Russell
ExpiredIllinois license 020006152
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020006152
- Status
- Expired (Not Renewed)
- First issued
- July 21, 1986
- Expired
- September 30, 1992
- License holder
- Jean H Russell
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 07/21/1986
Contact
Waukesha, WI 53186
Wisconsin County