CONNIE R CROFFOOT Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001916

License Status

ACTIVE

Business

First Name

CONNIE R

Last Name

CROFFOOT

Business Name

CONNIE R CROFFOOT

Original Issue Date

07/11/1973

Effective Date

09/13/2024

Expiration Date

09/30/2027

City

ROCKFORD

State

Zip

61107

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/13/2024