MICHAEL PATRICK PHILLIPS MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036051465

License Status

NOT RENEWED

Business

First Name

MICHAEL

Middle

PATRICK

Last Name

PHILLIPS

Suffix

Business Name

MICHAEL PATRICK PHILLIPS MD

Original Issue Date

08/15/1975

Effective Date

04/20/2011

Expiration Date

07/31/2014

State

Ever Disciplined

LastModifiedDate

11/17/2014

Case Number

1999009182

Action

Probation

Discipline Start Date

03/14/2001

Discipline End Date

04/03/2006

Discipline Reason

Failed to file and pay Illinois taxes for 1996 to 1998, and failed to file employer's quarterly withholding tax returns.