GLORIA LYNN PHILLIPS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020016824

License Status

NOT RENEWED

Business

First Name

GLORIA

Middle

LYNN

Last Name

PHILLIPS

Business Name

GLORIA LYNN PHILLIPS

Original Issue Date

02/05/2020

Effective Date

02/05/2020

Expiration Date

01/31/2022

City

PLAINFIELD

State

Zip

46168

Ever Disciplined

LastModifiedDate

05/09/2022