License holder summary

Jennifer Ann Russell is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for Jennifer Ann Russell is Russell Orthodontics, 13752 Lakeridge Drive, Fishers IN 46037. This licensed professional license is current. The license was granted 08/11/1998 and expired on 03/01/2016.

Indiana

Professional Licensing Agency

Jennifer Ann Russell
Controlled Substance Registration - Dentist
License number
12010066B
Date granted
08/11/1998
Date expires
03/01/2016
Class
Controlled Substance Registration - Dentist
Status
Active
Address
Russell Orthodontics, 13752 Lakeridge Drive, Fishers IN 46037
indianalicensing.org
ID 5093397
LAST UPDATED 2024-04-07 07:50:33 UTC

This website is unaffiliated with the Professional Licensing Agency. Please verify all information directly with the relevant official government authority.

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