Kleyn Birdwell Russell Jr Dds

License

Licensed by

Illinois Department of Financial and Professional Regulation

License number

31*****81

Status

Expired (Not Renewed)

First issued

December 11, 1990

Expired

September 30, 1992

License holder

Kleyn Birdwell Russell Jr Dds

Entity type

Individual

Classifications

• Licensed Dentist Controlled Substance (Dental) Dental

More from the license record

Controlled substance schedules

II III IV V

Current term began

12/11/1990

Other Illinois licenses under this name

• IL
  Kleyn Birdwell Russell Jr Dds

  License 019016923

  Licensed Dentist (Dental)
  Suspended

  Ormond Beach, FL

  Expired Sep 30, 1992

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