Lacy Suzanne Russell
InactiveIllinois license 020011529
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020011529
- Status
- Inactive
- First issued
- October 4, 2005
- Expired
- September 30, 2012
- License holder
- Lacy Suzanne Russell
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 06/04/2009
Other Illinois licenses under this name
-
IL
InactiveChampaign, ILExpired Dec 31, 2012
Contact
Champaign, IL 61821
Champaign County