PHYLLIS J BREALEY Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020007145

License Status

NOT RENEWED

Business

First Name

PHYLLIS J

Last Name

BREALEY

Business Name

PHYLLIS J BREALEY

Original Issue Date

07/14/1990

Effective Date

10/08/2009

Expiration Date

09/30/2012

City

MADEIRA

State

Zip

45243

County

OHIO

Ever Disciplined

LastModifiedDate

11/14/2012