BRADLEY LEWIS PHILLIPS - Dentist License in Maryland | # 019018506

BRADLEY LEWIS PHILLIPS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018506

License Status

NOT RENEWED

Business

N

First Name

BRADLEY LEWIS

Last Name

PHILLIPS

Business Name

BRADLEY LEWIS PHILLIPS

Original Issue Date

05/23/1983

Effective Date

05/23/1983

Expiration Date

09/30/1984

State

MD

Ever Disciplined

N

LastModifiedDate

10/12/2005