RACHELLE IRENE PHILLIPS DMD Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****81

License Status

ACTIVE

Business

First Name

RACHELLE

Middle

IRENE

Last Name

PHILLIPS

Suffix

DMD

Business Name

RACHELLE IRENE PHILLIPS DMD

Original Issue Date

06/29/2009

Effective Date

05/14/2024

Expiration Date

09/30/2027

City

COLLINSVILLE

State

Zip

62234

County

MADISON

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

05/14/2024