MARCELLA F PHILLIPS

Controlled Substance Registration - Dentist

Indiana  12005330B   Expired

This Indiana license was held by MARCELLA F PHILLIPS. The license is no longer active. It was granted on 12/31/1985 and expired on 03/01/1994

LICENSE DETAILS

  • License Number: 12005330B
  • Category: CSR-Dentist
  • Status: Expired
  • Date Granted: 12/31/1985 (over 39 years ago)
  • Expiry Date: 03/01/1994 (over 31 years ago)

LOCATIONS

A Address

135 RIMBACH ST, HAMMOND IN 46320