Jennifer Ann Russell
Controlled Substance Registration - Dentist
Indiana 12010066B Active
This Indiana license is held by Jennifer Ann Russell. The license is currently active. It was granted on 08/11/1998 and expired on 03/01/2016
LICENSE DETAILS
- License Number: 12010066B
- Category: CSR-Dentist
- Status: Active
- Date Granted: 08/11/1998 (almost 27 years ago)
- Expiry Date: 03/01/2016 (over 9 years ago)
LOCATIONS
A Address
Russell Orthodontics, 13752 Lakeridge Drive, Fishers IN 46037
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