CLYDE WILLIS PHILLIPS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036028050

License Status

NOT RENEWED

Business

First Name

CLYDE WILLIS

Last Name

PHILLIPS

Suffix

Business Name

CLYDE WILLIS PHILLIPS MD

Original Issue Date

08/12/1947

Effective Date

08/12/1947

Expiration Date

07/31/1996

City

CHICAGO

State

Zip

60617

County

COOK

Ever Disciplined

LastModifiedDate

09/20/2006