RACHELLE IRENE PHILLIPS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019028034

License Status

ACTIVE

Business

First Name

RACHELLE

Middle

IRENE

Last Name

PHILLIPS

Suffix

DMD

Business Name

RACHELLE IRENE PHILLIPS DMD

Original Issue Date

06/22/2009

Effective Date

05/14/2024

Expiration Date

09/30/2027

City

GLEN CARBON

State

Zip

62034

County

MADISON

Ever Disciplined

LastModifiedDate

05/14/2024