MARSHA RAE PHILLIPS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020010940

License Status

NOT RENEWED

Business

First Name

MARSHA

Middle

RAE

Last Name

PHILLIPS

Business Name

MARSHA RAE PHILLIPS

Original Issue Date

06/18/2004

Effective Date

09/26/2012

Expiration Date

09/30/2015

City

NEWTON

State

Zip

62448

County

JASPER

Ever Disciplined

LastModifiedDate

04/25/2016