DAVID E CRADDOCK Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021541

License Status

NOT RENEWED

Business

First Name

DAVID E

Last Name

CRADDOCK

Business Name

DAVID E CRADDOCK

Original Issue Date

03/28/1989

Effective Date

06/15/2012

Expiration Date

09/30/2015

City

KEWANEE

State

Zip

61443

County

HENRY

Ever Disciplined

LastModifiedDate

02/08/2016