CRYSTAL J RUBLE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010492

License Status

NOT RENEWED

Business

First Name

CRYSTAL

Middle

Last Name

RUBLE

Business Name

CRYSTAL J RUBLE

Original Issue Date

10/04/2002

Effective Date

10/04/2002

Expiration Date

09/30/2004

City

CHICAGO

State

Zip

60657

County

COOK

Ever Disciplined

LastModifiedDate

10/17/2005