CRYSTAL L BOGATITUS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010991

License Status

ACTIVE

Business

First Name

CRYSTAL

Middle

Last Name

BOGATITUS

Business Name

CRYSTAL L BOGATITUS

Original Issue Date

06/23/2004

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

DALZELL

State

Zip

61320

County

BUREAU

Ever Disciplined

LastModifiedDate

09/30/2024