Department of Licensing and Regulatory Affairs
Board of Medicine
JACOB RUSSELL
Dentistry - Dentist
License number
2901011185
Date granted
08/25/1975
Date expires
08/31/1994
Class
Dentistry - Dentist
Status
Lapsed
Address
michiganmedical.net
ID 38904765
LAST UPDATED 2024-02-26 15:05:07 UTC
LAST UPDATED 2024-02-26 15:05:07 UTC
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