PHILIP H CONWISAR MD - Medical Doctor License in Illinois | # 125021148

PHILIP H CONWISAR MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125021148

License Status

EXPIRED

Business

N

First Name

PHILIP H

Last Name

CONWISAR

Suffix

MD

Business Name

PHILIP H CONWISAR MD

Original Issue Date

06/06/1987

Effective Date

06/06/1987

Expiration Date

07/01/1990

State

IL

Specialty/Qualifier

Orthopaedic Surgery

Ever Disciplined

N

LastModifiedDate

09/22/2006