GRANVILLE JOSEPH PHILLIPS MD - Medical Doctor License in Missouri | # 036107967

GRANVILLE JOSEPH PHILLIPS MD

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036107967

License Status

INACTIVE

Business

N

First Name

GRANVILLE

Middle

JOSEPH

Last Name

PHILLIPS

Suffix

MD

Business Name

GRANVILLE JOSEPH PHILLIPS MD

Original Issue Date

10/07/2002

Effective Date

07/31/2006

Expiration Date

07/31/2008

State

MO

Ever Disciplined

N

LastModifiedDate

04/17/2008