PHYLLIS A DAHM Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020008981

License Status

NOT RENEWED

Business

First Name

PHYLLIS A

Last Name

DAHM

Business Name

PHYLLIS A DAHM

Original Issue Date

07/09/1997

Effective Date

07/09/1997

Expiration Date

09/30/2000

City

DECATUR

State

Zip

62521

County

MACON

Ever Disciplined

LastModifiedDate

10/17/2005