PHILIP R FARRUGGIA DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019021862

License Status

NOT RENEWED

Business

First Name

PHILIP R

Last Name

FARRUGGIA

Suffix

DMD

Business Name

PHILIP R FARRUGGIA DMD

Original Issue Date

11/22/1989

Effective Date

11/22/1989

Expiration Date

09/30/1996

City

GRANITE CITY

State

Zip

62040

County

MADISON

Ever Disciplined

LastModifiedDate

10/12/2005