BARBARA ALICE PHILLIS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020002687

License Status

NOT RENEWED

Business

First Name

BARBARA ALICE

Last Name

PHILLIS

Business Name

BARBARA ALICE PHILLIS

Original Issue Date

08/11/1975

Effective Date

08/11/1975

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

10/12/2005