License holder summary

JACOB RUSSELL is a Dentist, Hygienist, Dental Assistant - Dentist licensed to practice in Michigan. The address on file for JACOB RUSSELL is La Jolla, CA 92031. This licensed professional license is not current. The license was granted 08/25/1975 and expired on 08/31/1994.

Michigan

Department of Licensing and Regulation

JACOB RUSSELL
Dentist, Hygienist, Dental Assistant - Dentist
License number
2901011185
Date granted
08/25/1975
Date expires
08/31/1994
Class
Dentist, Hygienist, Dental Assistant - Dentist
Status
Lapsed
Address
La Jolla, CA 92031
michiganlicensing.org
ID 25761611
LAST UPDATED 2024-04-13 17:53:44 UTC

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