Crystal G Prouty
ExpiredIllinois license 020005298
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 020005298
- Status
- Expired (Not Renewed)
- First issued
- July 25, 1983
- Expired
- January 31, 2022
- License holder
- Crystal G Prouty
- Entity type
- Individual
Classifications
- Registered Dental Hygienist Dental
More from the license record
- Current term began
- 09/19/2018
Contact
Marquette Heights, IL 61554
Tazewell County