BRADLEY LEWIS PHILLIPS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019018506

License Status

NOT RENEWED

Business

First Name

BRADLEY LEWIS

Last Name

PHILLIPS

Business Name

BRADLEY LEWIS PHILLIPS

Original Issue Date

05/23/1983

Effective Date

05/23/1983

Expiration Date

09/30/1984

City

BALTIMORE

State

Zip

21208

County

MARYLAND

Ever Disciplined

LastModifiedDate

10/12/2005