VERENA B PHILLIPS DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000637

License Status

NOT RENEWED

Business

First Name

VERENA

Middle

Last Name

PHILLIPS

Suffix

DDS

Business Name

VERENA B PHILLIPS DDS

Original Issue Date

07/06/1992

Effective Date

07/06/1992

Expiration Date

06/30/1993

City

CHICAGO

State

Zip

60657

County

COOK

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

LastModifiedDate

10/12/2005