PHILLIP WARD MYERS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****01

License Status

NOT RENEWED

Business

First Name

PHILLIP WARD

Last Name

MYERS

Suffix

Business Name

PHILLIP WARD MYERS MD

Original Issue Date

01/01/1997

Effective Date

06/05/2017

Expiration Date

09/30/2020

City

SANIBEL

State

Zip

33957

County

SANGAMON

Controlled Substance Schedule

II III IV

Ever Disciplined

LastModifiedDate

01/14/2021