License holder summary

WILLARD DEAN RUSSELL is a Dentistry - Anesthesia Permit - Unrestricted licensed to practice in Pennsylvania. The address on file for WILLARD DEAN RUSSELL is MARTINSBURG WV 25401. This licensed professional license is not current. The license was granted 06/26/1998 and expired on 06/30/2005.

Pennsylvania

Department of State

WILLARD DEAN RUSSELL
Dentistry - Anesthesia Permit - Unrestricted
License number
DA030508A
Date granted
06/26/1998
Date expires
06/30/2005
Class
Dentistry - Anesthesia Permit - Unrestricted
Status
Inactive
Address
MARTINSBURG WV 25401
palicensing.org
ID 16539395
LAST UPDATED 2024-03-14 10:50:29 UTC

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