SALLY J KROGH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000928

License Status

NOT RENEWED

Business

First Name

SALLY J

Last Name

KROGH

Business Name

SALLY J KROGH

Original Issue Date

07/20/1967

Effective Date

07/20/1967

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/12/2005