HOWARD CROCKETT HALL Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****46

License Status

CANCELLED

Business

First Name

HOWARD CROCKETT

Last Name

HALL

Business Name

HOWARD CROCKETT HALL

Original Issue Date

01/01/1998

Expiration Date

09/30/2006

City

BOURBONNAIS

State

Zip

60914

County

KANKAKEE

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

07/24/2006