PHYLLIS J PADULA - Dentist License in Illinois | # 020001881

PHYLLIS J PADULA

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001881

License Status

NOT RENEWED

Business

N

First Name

PHYLLIS J

Last Name

PADULA

Business Name

PHYLLIS J PADULA

Original Issue Date

12/14/1972

Effective Date

10/01/2012

Expiration Date

09/30/2015

State

IL

Ever Disciplined

N

LastModifiedDate

04/25/2016