Secretary of State
Board of Nursing
KATHLEEN IRENE RUSSOM
Nursing - Dental Hygienist
License number
DH7132
Date granted
07/24/1984
Date expires
02/28/2016
Class
Nursing - Dental Hygienist
Status
Active
Address
ST. LUCIE CENTER FOR COSMETIC 139 SW PORT ST. LUCIE BLVD. PORT ST. LUCIE,FL34984 UNITED STATES ATTN: DR. ANTHONY MATHENY, DDS
nursingflorida.org
ID 31877317
LAST UPDATED 2026-08-08 16:24:15 UTC
LAST UPDATED 2026-08-08 16:24:15 UTC
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