Indiana
Professional Licensing Agency
Jennifer A. Russell, D.D.S., M.S.D., P.C.
Dentistry Board - Dental Corporation
License number
54001376A
Date granted
08/27/2003
Date expires
01/31/2016
Class
Dentistry Board - Dental Corporation
Status
Active
Address
5115 N. Pennsylvania Street, Indianapolis IN 46205
indianalicensing.org
ID 24745399
LAST UPDATED 2026-03-23 01:55:08 UTC
LAST UPDATED 2026-03-23 01:55:08 UTC
This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.