SUSAN MARIE PHILLIPS - Dentist License in Illinois | # 020003965

SUSAN MARIE PHILLIPS

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003965

License Status

NOT RENEWED

Business

N

First Name

SUSAN MARIE

Last Name

PHILLIPS

Business Name

SUSAN MARIE PHILLIPS

Original Issue Date

08/14/1979

Effective Date

08/14/1979

Expiration Date

09/30/1986

State

IL

Ever Disciplined

N

LastModifiedDate

10/12/2005