AUDREY RENEE CROSS - Dentist License in Illinois | # 020002205

AUDREY RENEE CROSS

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002205

License Status

NOT RENEWED

Business

N

First Name

AUDREY RENEE

Last Name

CROSS

Business Name

AUDREY RENEE CROSS

Original Issue Date

07/03/1974

Effective Date

07/03/1974

Expiration Date

09/30/1984

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005