MICHELLE L CROSBY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008878

License Status

NOT RENEWED

Business

First Name

MICHELLE L

Last Name

CROSBY

Business Name

MICHELLE L CROSBY

Original Issue Date

10/30/1996

Effective Date

10/30/1996

Expiration Date

09/30/2000

City

CHAMPAIGN

State

Zip

61820

County

CHAMPAIGN

Ever Disciplined

LastModifiedDate

10/17/2005