Gordon Ballantin Crouch Dmd
InactiveIllinois license 019013334
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 019013334
- Status
- Inactive
- First issued
- July 16, 1968
- Expired
- September 30, 1992
- License holder
- Gordon Ballantin Crouch Dmd
- Entity type
- Individual
Classifications
- Licensed Dentist (Dental) Dental
More from the license record
- Current term began
- 07/16/1968
Contact
Simsbury, CT 06070
Connecticut County