MARY T CRUSIUS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001457

License Status

NOT RENEWED

Business

First Name

MARY T

Last Name

CRUSIUS

Business Name

MARY T CRUSIUS

Original Issue Date

07/08/1971

Effective Date

07/08/1971

Expiration Date

09/30/1990

City

SOUTHERN PINES

State

Zip

28387

County

NORTH CAROLINA

Ever Disciplined

LastModifiedDate

10/12/2005