LARRY W CROCKER Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019020614

License Status

ACTIVE

Business

First Name

LARRY W

Last Name

CROCKER

Business Name

LARRY W CROCKER

Original Issue Date

07/18/1987

Effective Date

10/01/2024

Expiration Date

09/30/2027

City

GODFREY

State

Zip

62035

County

MADISON

Ever Disciplined

LastModifiedDate

10/16/2024