License holder summary

Russell, Lisa Marie is a Dental Specialist licensed to practice in Missouri. The address on file for Russell, Lisa Marie is 655 Clinic Rd Ste 110 , Hannibal 63401. This licensed professional license is current. The license was granted 08/23/2011 and expired on 11/30/2014.

Missouri

Division of Professional Registration

Russell, Lisa Marie
Dental Specialist
License number
2011028140  
Date granted
08/23/2011
Date expires
11/30/2014
Class
Dental Specialist
Status
Clear
Address
655 Clinic Rd Ste 110 
licensingmissouri.org
ID 2014009
LAST UPDATED 2026-05-27 12:29:47 UTC

This website is unaffiliated with the Division of Professional Registration. Please verify all information directly with the relevant official government authority.

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