PHYLLIS G KROCHMAL Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

REGISTERED DENTAL HYGIENIST

License Number

020001157

License Status

NOT RENEWED

Business

First Name

PHYLLIS G

Last Name

KROCHMAL

Business Name

PHYLLIS G KROCHMAL

Original Issue Date

07/14/1969

Effective Date

07/14/1969

City

STERLING

State

Zip

22170

County

VIRGINIA

Ever Disciplined

LastModifiedDate

10/12/2005