Philip R Banghart Dds
ActiveIllinois license 137000379
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 137000379
- Status
- Active
- First issued
- July 24, 1995
- Expires
- September 30, 2027
- License holder
- Philip R Banghart Dds
- Entity type
- Individual
Classifications
- Dental Sedation Permit Dental
More from the license record
- Specialty
- Deep Sedation and General Anesthesia
- Current term began
- 05/01/2024
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Contact
Mattoon, IL 61938
Coles County