EARL PHILLIP OW MD Medical Doctor License verification

Business Entity

ACTIVE

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036050398

License Status

ACTIVE

Business

First Name

EARL PHILLIP

Last Name

Suffix

Business Name

EARL PHILLIP OW MD

Original Issue Date

11/26/1974

Effective Date

04/14/2023

Expiration Date

07/31/2026

City

NEW SMYRNA BEACH

State

Zip

32169

Ever Disciplined

LastModifiedDate

04/14/2023