New Jersey
Division of Consumer Affairs
Tara Russen
Registered Dental Assistant
License number
22DP00376100
Date granted
01/09/2001
Date expires
12/31/2014
Class
Registered Dental Assistant
Status
Active
licensingnj.com
ID 8458964
LAST UPDATED 2024-04-30 01:16:21 UTC
LAST UPDATED 2024-04-30 01:16:21 UTC
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