JODY R PHILLIPS - Dentist License in Tennessee | # 020007813

JODY R PHILLIPS

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007813

License Status

NOT RENEWED

Business

N

First Name

JODY R

Last Name

PHILLIPS

Business Name

JODY R PHILLIPS

Original Issue Date

08/25/1992

Effective Date

08/25/1992

Expiration Date

09/30/2002

State

TN

Ever Disciplined

N

LastModifiedDate

10/17/2005