LISA D RUSSO
Dental Hygienist at Country Shadows Ct, Gilbert, AZ

License number
Florida 15679
Issued Date
Aug 4, 2000
Effective Date
Aug 4, 2000
Expiration Date
Feb 28, 2018
Category
Health Care
Type
Dental Hygienist
Address
Address
2785 E Country Shadows Ct, Gilbert, AZ 85298
Phone
(480) 699-7592
LicenseFiles verified this license of Jun 1, 2017 at the Health Care Practitioner Data Portal.

Personal information

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Name
Address
Phone
Lisa Russo, age 53
424 W Azalea Dr, Chandler, AZ 85248
(480) 699-7592

Dental Hygienist licenses in Florida