RICHARD PHILLIP LOGULLO Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019011796

License Status

NOT RENEWED

Business

First Name

RICHARD PHILLIP

Last Name

LOGULLO

Business Name

RICHARD PHILLIP LOGULLO

Original Issue Date

08/22/1960

Effective Date

09/24/2015

Expiration Date

09/30/2018

City

CENTRALIA

State

Zip

62801

County

MARION

Ever Disciplined

LastModifiedDate

10/31/2018