WILLIAM RAY PHILLIPS DDS Dentist License verification

Business Entity

CANCELLED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****18

License Status

CANCELLED

Business

First Name

WILLIAM

Middle

RAY

Last Name

PHILLIPS

Suffix

DDS

Business Name

WILLIAM RAY PHILLIPS DDS

Original Issue Date

01/01/1998

Expiration Date

09/30/2002

City

CARBONDALE

State

Zip

62901

County

JACKSON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/17/2005