License holder summary

RUSSELL JOHN DOUGLAS is a Dental License licensed to practice in California. The address on file for RUSSELL JOHN DOUGLAS is 4178 ASHBY COURT SHASTA LAKE CA 96019. This licensed professional license is current. The license was granted 01/01/1968 and expired on 06/30/2016.

California

Department of Consumer Affairs

RUSSELL JOHN DOUGLAS
Dental License
License number
20042
Date granted
01/01/1968
Date expires
06/30/2016
Class
Dental License
Status
Current
Address
4178 ASHBY COURT SHASTA LAKE CA 96019
californialicensing.org
ID 19803566
LAST UPDATED 2024-02-28 18:00:31 UTC

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