DOMINIC EVAN PHILPOTT DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019029483

License Status

NOT RENEWED

Business

Title

DMD

First Name

DOMINIC

Middle

EVAN

Last Name

PHILPOTT

Business Name

DOMINIC EVAN PHILPOTT DMD

Original Issue Date

06/24/2013

Effective Date

06/24/2013

Expiration Date

09/30/2015

City

ALTON

State

Zip

62002

County

MADISON

Ever Disciplined

LastModifiedDate

02/08/2016