THOMAS A PHILLIPS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****40

License Status

NOT RENEWED

Business

First Name

THOMAS A

Last Name

PHILLIPS

Business Name

THOMAS A PHILLIPS

Original Issue Date

01/01/1998

Expiration Date

09/30/1990

City

CHICAGO

State

Zip

60610

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/13/2005