LARON E PHILLIPS MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****39

License Status

ACTIVE

Business

First Name

LARON

Middle

Last Name

PHILLIPS

Suffix

Business Name

LARON E PHILLIPS MD

Original Issue Date

06/25/2010

Effective Date

06/17/2023

Expiration Date

07/31/2026

City

LONG BEACH

State

Zip

90802

County

COOK

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

06/17/2023