PHILIP LEVENS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019010486

License Status

NOT RENEWED

Business

First Name

PHILIP

Last Name

LEVENS

Business Name

PHILIP LEVENS

Original Issue Date

08/05/1954

Effective Date

08/05/1954

Expiration Date

09/30/1988

City

ST. LOUIS

State

Zip

63131

County

MISSOURI

Ever Disciplined

LastModifiedDate

10/12/2005