License holder summary

RALEIGH L PHILLIPS JR is a Controlled Substance Registration - Dentist licensed to practice in Indiana. The address on file for RALEIGH L PHILLIPS JR is 22 NORTH MERIDIAN STREET, BRAZIL IN 47834. This licensed professional license is not current. The license was granted 12/31/1985 and expired on 03/01/1994.

Indiana

Professional Licensing Agency

RALEIGH L PHILLIPS JR
Controlled Substance Registration - Dentist
License number
12004621B
Date granted
12/31/1985
Date expires
03/01/1994
Class
Controlled Substance Registration - Dentist
Status
Expired
Address
22 NORTH MERIDIAN STREET, BRAZIL IN 47834
indianalicensing.org
ID 5084016
LAST UPDATED 2024-02-03 10:09:53 UTC

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