CONSTANCE BAKER PHILLIPS Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST

License Number

019017010

License Status

NOT RENEWED

Business

First Name

CONSTANCE BAKER

Last Name

PHILLIPS

Business Name

CONSTANCE BAKER PHILLIPS

Original Issue Date

11/02/1979

Effective Date

11/02/1979

Expiration Date

09/30/1996

City

BROOKLYN

State

Zip

11216

County

NEW YORK

Ever Disciplined

LastModifiedDate

10/12/2005