PHOEBE E BURSUA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000863

License Status

NOT RENEWED

Business

First Name

PHOEBE E

Last Name

BURSUA

Business Name

PHOEBE E BURSUA

Original Issue Date

07/18/1966

Effective Date

07/18/1966

City

CREAL SPRINGS

State

Zip

62922

County

WILLIAMSON

Ever Disciplined

LastModifiedDate

10/12/2005