SUSAN MARIE PHILLIPS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020003965

License Status

NOT RENEWED

Business

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

City

CHICAGO

State

Zip

60656

County

COOK

Ever Disciplined

LastModifiedDate

10/12/2005