STACY ANNE MATLOCK-CROY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007626

License Status

NOT RENEWED

Business

First Name

STACY

Middle

ANNE

Last Name

MATLOCK-CROY

Business Name

STACY ANNE MATLOCK-CROY

Original Issue Date

02/27/1992

Effective Date

12/10/2012

Expiration Date

09/30/2015

City

GENEVA

State

Zip

60134

County

KANE

Ever Disciplined

LastModifiedDate

04/25/2016