License holder summary

Russell E. Gilliom P C is a Dentistry Board - Dental Corporation licensed to practice in Indiana. The address on file for Russell E. Gilliom P C is POST OFFICE BOX 265, 230 EAST WHITLEY STREET, CHURUBUSCO IN 46723. This licensed professional license is not current. The license was granted 12/14/1995 and expired on 01/31/2010.

Indiana

Professional Licensing Agency

Russell E. Gilliom P C
Dentistry Board - Dental Corporation
License number
54000935A
Date granted
12/14/1995
Date expires
01/31/2010
Class
Dentistry Board - Dental Corporation
Status
Expired Non-Renewable
Address
POST OFFICE BOX 265, 230 EAST WHITLEY STREET, CHURUBUSCO IN 46723
indianalicensing.org
ID 24743330
LAST UPDATED 2024-03-10 20:43:57 UTC

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