PHOEBE E BURSUA - Dentist License in Illinois | # 020000863

PHOEBE E BURSUA

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020000863

License Status

NOT RENEWED

Business

N

First Name

PHOEBE E

Last Name

BURSUA

Business Name

PHOEBE E BURSUA

Original Issue Date

07/18/1966

Effective Date

07/18/1966

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005