PHILIP JOSEPH WIEGAND DDS - Dentist License in Pennsylvania | # 019014709

PHILIP JOSEPH WIEGAND DDS

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014709

License Status

INACTIVE

Business

N

First Name

PHILIP JOSEPH

Last Name

WIEGAND

Suffix

DDS

Business Name

PHILIP JOSEPH WIEGAND DDS

Original Issue Date

07/11/1973

Effective Date

07/11/1973

Expiration Date

09/30/1990

State

PA

Ever Disciplined

N

LastModifiedDate

10/12/2005