BRENDA BOOTH PHILLIPS - Dentist License in Louisiana | # 020005748

BRENDA BOOTH PHILLIPS

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005748

License Status

NOT RENEWED

Business

N

First Name

BRENDA BOOTH

Last Name

PHILLIPS

Business Name

BRENDA BOOTH PHILLIPS

Original Issue Date

03/01/1985

Effective Date

03/01/1985

Expiration Date

09/30/1994

State

LA

Ever Disciplined

N

LastModifiedDate

10/12/2005