PHILLIP R CANFIELD MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051138

License Status

NOT RENEWED

Business

First Name

PHILLIP R

Last Name

CANFIELD

Suffix

Business Name

PHILLIP R CANFIELD MD

Original Issue Date

07/10/1975

Effective Date

07/10/1975

City

ROCKFORD

State

Zip

61108

County

WINNEBAGO

Ever Disciplined

LastModifiedDate

09/20/2006