License holder summary

ANTHONY RUSSELL IMMEDIATA is a Dentist licensed to practice in Pennsylvania. The address on file for ANTHONY RUSSELL IMMEDIATA is RALEIGH NC 27613. This medical practitioner license is not current. The license was granted 06/12/1981 and expired on 03/31/2001.

Department of State

Board of Medicine

ANTHONY RUSSELL IMMEDIATA
Dentist
License number
DS022218L
Date granted
06/12/1981
Date expires
03/31/2001
Class
Dentist
Status
Expired
Address
RALEIGH NC 27613
medicinepa.com
ID 37430895
LAST UPDATED 2026-04-30 23:46:05 UTC

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