PHYLLIS G KROCHMAL - Dentist License in Virginia | # 020001157

PHYLLIS G KROCHMAL

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001157

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS G

Last Name

KROCHMAL

Business Name

PHYLLIS G KROCHMAL

Original Issue Date

07/14/1969

Effective Date

07/14/1969

State

VA

Ever Disciplined

N

LastModifiedDate

10/12/2005