North Carolina
Secretary of State
Kenneth R. Russell
Dental - Licensed Dentist
License number
5843
Date granted
06/15/1989
Date expires
03/31/2015
Class
Dental - Licensed Dentist
Status
Good Standing
Address
WINSTON-SALEM NC
licensingnc.com
ID 19235698
LAST UPDATED 2024-04-29 03:34:53 UTC
LAST UPDATED 2024-04-29 03:34:53 UTC
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