PHILIP JOHN MIDDLETON MD Medical Doctor License verification

Business Entity

INACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036100671

License Status

INACTIVE

Business

First Name

PHILIP

Middle

JOHN

Last Name

MIDDLETON

Suffix

Business Name

PHILIP JOHN MIDDLETON MD

Original Issue Date

07/15/1999

Effective Date

07/15/1999

Expiration Date

07/31/2002

City

MANITOU SPRINGS

State

Zip

80829

County

COLORADO

Ever Disciplined

LastModifiedDate

10/09/2006