PHILIP L CAMPAGNA JR DDS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014536

License Status

NOT RENEWED

Business

First Name

PHILIP L

Last Name

CAMPAGNA JR

Suffix

DDS

Business Name

PHILIP L CAMPAGNA JR DDS

Original Issue Date

07/11/1973

Effective Date

07/17/2012

Expiration Date

09/30/2015

City

MICHIGAN CITY

State

Zip

46360

County

INDIANA

Ever Disciplined

LastModifiedDate

02/08/2016