DAWN M PHILLIPS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008368

License Status

NOT RENEWED

Business

First Name

DAWN M

Last Name

PHILLIPS

Business Name

DAWN M PHILLIPS

Original Issue Date

08/23/1994

Effective Date

09/15/2009

Expiration Date

09/30/2012

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

11/14/2012