MERSAMMA PHILIP MD Medical Doctor License verification

Business Entity

NOT RENEWED

License Type

Medical Doctor

Description

LICENSED PHYSICIAN AND SURGEON

License Number

036057969

License Status

NOT RENEWED

Business

First Name

MERSAMMA

Last Name

PHILIP

Suffix

Business Name

MERSAMMA PHILIP MD

Original Issue Date

10/23/1978

Effective Date

06/06/2014

Expiration Date

07/31/2017

City

GLENVIEW

State

Zip

60026

County

COOK

Ever Disciplined

LastModifiedDate

11/01/2017