HAROLD EDWARD CROTTY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****21

License Status

NOT RENEWED

Business

First Name

HAROLD EDWARD

Last Name

CROTTY

Business Name

HAROLD EDWARD CROTTY

Original Issue Date

01/01/1998

Expiration Date

06/01/1982

City

EAST ST LOUIS

State

Zip

62204

County

SAINT CLAIR

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005