SUSAN M PHILLIPS Dentist License verification

Business Entity

ACTIVE

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****48

License Status

ACTIVE

Business

First Name

SUSAN M

Last Name

PHILLIPS

Business Name

SUSAN M PHILLIPS

Original Issue Date

10/22/1985

Effective Date

09/06/2024

Expiration Date

09/30/2027

City

CHICAGO

State

Zip

60640

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

09/06/2024