VERENA B PHILLIPS DDS - Dentist License in Illinois | # 018000637

VERENA B PHILLIPS DDS

Business Entity

NOT RENEWED

License Type

Dentist

Description

TEMPORARY DENTAL TRAINING LICENSE

License Number

018000637

License Status

NOT RENEWED

Business

N

First Name

VERENA

Middle

B

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

State

IL

Specialty/Qualifier

Advanced General Dentistry

Ever Disciplined

N

LastModifiedDate

10/12/2005