KIMBERLY ANN CROUCH Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020012782

License Status

ACTIVE

Business

First Name

KIMBERLY

Middle

ANN

Last Name

CROUCH

Business Name

KIMBERLY ANN CROUCH

Original Issue Date

04/16/2009

Effective Date

09/30/2024

Expiration Date

09/30/2027

City

CROWN POINT

State

Zip

46307

County

LAKE

Ever Disciplined

LastModifiedDate

09/30/2024