MICHAEL GENE PHILLIPPE MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036055265

License Status

NOT RENEWED

Business

First Name

MICHAEL GENE

Last Name

PHILLIPPE

Suffix

Business Name

MICHAEL GENE PHILLIPPE MD

Original Issue Date

08/11/1977

Effective Date

06/21/2017

Expiration Date

09/30/2020

City

ROBINSON

State

Zip

62454

County

CRAWFORD

Ever Disciplined

LastModifiedDate

01/14/2021