PHILLIP NEWTON WHEAT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

DENTAL SEDATION PERMIT

License Number

137000208

License Status

NOT RENEWED

Business

First Name

PHILLIP NEWTON

Last Name

WHEAT

Suffix

DDS

Business Name

PHILLIP NEWTON WHEAT DDS

Original Issue Date

02/15/1990

Effective Date

06/20/2012

Expiration Date

09/30/2015

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Specialty/Qualifier

Deep Sedation and General Anesthesia

Ever Disciplined

LastModifiedDate

02/08/2016