PHILLIP NEWTON WHEAT DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****33

License Status

NOT RENEWED

Business

First Name

PHILLIP NEWTON

Last Name

WHEAT

Suffix

DDS

Business Name

PHILLIP NEWTON WHEAT DDS

Original Issue Date

12/05/1986

Effective Date

06/20/2012

Expiration Date

09/30/2015

City

SPRINGFIELD

State

Zip

62704

County

SANGAMON

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

02/08/2016