RHONDA ROSE KRUCKENBERG - Dentist License in Illinois | # 020002365

RHONDA ROSE KRUCKENBERG

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002365

License Status

NOT RENEWED

Business

N

First Name

RHONDA ROSE

Last Name

KRUCKENBERG

Business Name

RHONDA ROSE KRUCKENBERG

Original Issue Date

07/03/1974

Effective Date

06/22/2012

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

04/25/2016