CATHERINE E CROUCH Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010970

License Status

NOT RENEWED

Business

First Name

CATHERINE

Middle

Last Name

CROUCH

Business Name

CATHERINE E CROUCH

Original Issue Date

06/21/2004

Effective Date

09/21/2009

Expiration Date

09/30/2012

City

BLOOMINGTON

State

Zip

61704

County

MCLEAN

Ever Disciplined

LastModifiedDate

11/14/2012