PHILIP PAUL CONNELL MD - Medical Doctor License in Illinois | # 125034915

PHILIP PAUL CONNELL MD

Business Entity

EXPIRED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125034915

License Status

EXPIRED

Business

N

First Name

PHILIP

Middle

PAUL

Last Name

CONNELL

Suffix

MD

Business Name

PHILIP PAUL CONNELL MD

Original Issue Date

06/08/1996

Effective Date

06/08/1996

Expiration Date

06/30/2000

State

IL

Specialty/Qualifier

Radiation Oncology

Ever Disciplined

N

LastModifiedDate

09/22/2006