PHILIP EUGENE LAWLESS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036035320

License Status

NOT RENEWED

Business

First Name

PHILIP EUGENE

Last Name

LAWLESS

Suffix

Business Name

PHILIP EUGENE LAWLESS MD

Original Issue Date

08/15/1958

Effective Date

06/24/2008

Expiration Date

07/31/2011

City

PEORIA

State

Zip

61604

County

PEORIA

Ever Disciplined

LastModifiedDate

11/14/2011