JACK GLEN CRAWFORD DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010834

License Status

NOT RENEWED

Business

First Name

JACK GLEN

Last Name

CRAWFORD

Suffix

DDS

Business Name

JACK GLEN CRAWFORD DDS

Original Issue Date

12/12/1955

Effective Date

12/12/1955

Expiration Date

09/30/1988

City

PUEBLO

State

Zip

81004

County

COLORADO

Ever Disciplined

LastModifiedDate

10/12/2005