RHONDA ROSE KRUCKENBERG Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002365

License Status

NOT RENEWED

Business

First Name

RHONDA ROSE

Last Name

KRUCKENBERG

Business Name

RHONDA ROSE KRUCKENBERG

Original Issue Date

07/03/1974

Effective Date

06/22/2012

Expiration Date

09/30/2015

City

HAWTHORN WOODS

State

Zip

60047

County

LAKE

Ever Disciplined

LastModifiedDate

04/25/2016