KELLY A CRABTREE Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007322

License Status

NOT RENEWED

Business

First Name

KELLY A

Last Name

CRABTREE

Business Name

KELLY A CRABTREE

Original Issue Date

10/30/1990

Effective Date

09/01/2015

Expiration Date

09/30/2018

City

AVON

State

Zip

46123

County

INDIANA

Ever Disciplined

LastModifiedDate

10/31/2018