License Directory

Phillip T Marucha Dmd

Expired

Illinois license 019026595

License

Licensed by
Illinois Department of Financial and Professional Regulation
License number
019026595
Status
Expired (Not Renewed)
First issued
September 27, 2004
Expired
September 30, 2024
License holder
Phillip T Marucha Dmd
Entity type
Individual

Classifications

  • Licensed Dentist (Dental) Dental

More from the license record

Current term began
12/28/2021

Other Illinois licenses under this name

  • IL
    Phillip T Marucha Dmd
    License 31*****90
    Licensed Dentist Controlled Substance (Dental)
    Expired
    Chicago, IL
    Expired Sep 30, 2015

Contact

Portland, OR 97201
Oregon County