LAURIE M CRILLEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002311

License Status

NOT RENEWED

Business

First Name

LAURIE M

Last Name

CRILLEY

Business Name

LAURIE M CRILLEY

Original Issue Date

07/03/1974

Effective Date

07/03/1974

Expiration Date

04/01/1982

City

MOUNT HOREB

State

Zip

53572

County

WISCONSIN

Ever Disciplined

LastModifiedDate

10/12/2005