PHILIP JOSEPH WIEGAND DDS Dentist License verification

Business Entity

INACTIVE

License Type

Dentist

Description

LICENSED DENTIST

License Number

019014709

License Status

INACTIVE

Business

First Name

PHILIP JOSEPH

Last Name

WIEGAND

Suffix

DDS

Business Name

PHILIP JOSEPH WIEGAND DDS

Original Issue Date

07/11/1973

Effective Date

07/11/1973

Expiration Date

09/30/1990

City

EASTON

State

Zip

18042

County

PENNSYLVANIA

Ever Disciplined

LastModifiedDate

10/12/2005