PHILIP LEVENS - Dentist License in Missouri | # 019010486

PHILIP LEVENS

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010486

License Status

NOT RENEWED

Business

N

First Name

PHILIP

Last Name

LEVENS

Business Name

PHILIP LEVENS

Original Issue Date

08/05/1954

Effective Date

08/05/1954

Expiration Date

09/30/1988

State

MO

Ever Disciplined

N

LastModifiedDate

10/12/2005