PHILIP R BANGHART DDS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021176

License Status

ACTIVE

Business

First Name

PHILIP R

Last Name

BANGHART

Suffix

DDS

Business Name

PHILIP R BANGHART DDS

Original Issue Date

07/29/1988

Effective Date

05/01/2024

Expiration Date

09/30/2027

City

MATTOON

State

Zip

61938

County

COLES

Ever Disciplined

LastModifiedDate

05/01/2024

Case Number

2003007898

Action

Reprimand

Discipline Start Date

12/28/2004

Discipline Reason

PROVIDED SUBSTANDARD TREATMENT.