BRENDA BOOTH PHILLIPS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020005748

License Status

NOT RENEWED

Business

First Name

BRENDA BOOTH

Last Name

PHILLIPS

Business Name

BRENDA BOOTH PHILLIPS

Original Issue Date

03/01/1985

Effective Date

03/01/1985

Expiration Date

09/30/1994

City

MANDEVILLE

State

Zip

70448

County

LOUISIANA

Ever Disciplined

LastModifiedDate

10/12/2005