PHILLIP DANIEL MCCONNELL Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN CONTROLLED SUBSTANCE

License Number

33*****10

License Status

NOT RENEWED

Business

First Name

PHILLIP

Middle

DANIEL

Last Name

MCCONNELL

Business Name

PHILLIP DANIEL MCCONNELL

Original Issue Date

04/28/2021

Effective Date

04/28/2021

Expiration Date

07/31/2023

City

TAMPA

State

Zip

33611

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

11/30/2023