VIVIAN M DE KRUIF Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007607

License Status

ACTIVE

Business

First Name

VIVIAN M

Last Name

DE KRUIF

Business Name

VIVIAN M DE KRUIF

Original Issue Date

12/20/1991

Effective Date

05/10/2024

Expiration Date

09/30/2027

City

CRYSTAL LAKE

State

Zip

60012

County

MCHENRY

Ever Disciplined

LastModifiedDate

05/10/2024