Constance Baker Phillips
ExpiredIllinois license 31*****61
License
- Licensed by
- Illinois Department of Financial and Professional Regulation
- License number
- 31*****61
- Status
- Expired (Not Renewed)
- First issued
- July 9, 1981
- Expired
- September 30, 1984
- License holder
- Constance Baker Phillips
- Entity type
- Individual
Classifications
- Licensed Dentist Controlled Substance (Dental) Dental
More from the license record
- Controlled substance schedules
- II III IV V
- Current term began
- 07/09/1981
Other Illinois licenses under this name
-
IL
ExpiredBrooklyn, NYExpired Sep 30, 1996
Contact
Godfrey, IL 62035
Madison County