PHILIP HERMAN DENNIS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036037179

License Status

NOT RENEWED

Business

First Name

PHILIP HERMAN

Last Name

DENNIS

Suffix

Business Name

PHILIP HERMAN DENNIS MD

Original Issue Date

05/25/1961

Effective Date

10/01/2020

Expiration Date

07/31/2023

City

EDWARDSVILLE

State

Zip

62025

County

SAINT CLAIR

Ever Disciplined

LastModifiedDate

11/30/2023

Case Number

2021011665

Action

Suspension

Discipline Start Date

02/28/2022

Discipline End Date

03/18/2025

Discipline Reason

Failure to file and/or pay Illinois state income taxes. Notice of tax deficiency release received from Department of Revenue on 03/19/2025.