PHYLLIS J PADULA Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001881

License Status

NOT RENEWED

Business

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

City

VERNON HILLS

State

Zip

60061

County

LAKE

Ever Disciplined

LastModifiedDate

04/25/2016