PHILLIP NEWTON WHEAT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019015017

License Status

NOT RENEWED

Business

First Name

PHILLIP NEWTON

Last Name

WHEAT

Suffix

DDS

Business Name

PHILLIP NEWTON WHEAT DDS

Original Issue Date

07/17/1974

Effective Date

06/20/2012

Expiration Date

09/30/2015

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Ever Disciplined

LastModifiedDate

02/08/2016